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General NPI Number Information
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NPI Number | 1326216094
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Entity Type | Organization
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Legal Business Name | HORTENSIA HOWARD
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 5494 BROWN RD STE. 112
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City | HAZELWOOD
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State | MO
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Zip | 63042-1100
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Country | US
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Telephone | 314-731-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 5494 BROWN RD STE 112
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City | HAZELWOOD
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State | MO
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Zip | 63042-1100
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Country | US
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Telephone | 314-731-7030
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. HORTENSIA HOWARD
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Credential |
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Telephone | 314-731-7030
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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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