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General NPI Number Information
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NPI Number | 1316364177
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Entity Type | Organization
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Legal Business Name | GCIN HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 1515 N WARSON RD STE 287
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City | SAINT LOUIS
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State | MO
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Zip | 63132-1111
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Country | US
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Telephone | 314-728-6326
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Fax | 314-736-6112
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Provider Business Mailing Address
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Address Line | 1515 N WARSON RD STE 116
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City | SAINT LOUIS
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State | MO
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Zip | 63132-1111
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Country | US
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Telephone | 314-728-6326
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Fax | 314-736-6112
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Authorized Official
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Title or Position | CEO
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Name | MS. BRENDA ECHOLS
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Credential | CMT
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Telephone | 314-728-6326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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