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General NPI Number Information
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NPI Number | 1346618576
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Entity Type | Organization
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Legal Business Name | ANNS DREAM HEALTH CARE LLC
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 389 CARR MANOR CT
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City | BALLWIN
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State | MO
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Zip | 63021-3304
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Country | US
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Telephone | 314-258-7114
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Fax | 636-543-9773
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Provider Business Mailing Address
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Address Line | 389 CARR MANOR CT
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City | BALLWIN
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State | MO
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Zip | 63021-3304
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Country | US
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Telephone | 314-258-7114
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Fax | 636-543-9773
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. D'ANN MCINTYRE
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Credential |
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Telephone | 314-258-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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