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General NPI Number Information
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NPI Number | 1346775053
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Entity Type | Organization
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Legal Business Name | ORGANIZED HEALTH SOLUTIONS
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 205 UNIVERSAL DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-4423
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Country | US
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Telephone | 314-769-5726
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 HODIAMONT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63112-3608
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMEKA FIELDS
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Credential |
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Telephone | 314-769-5726
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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 | LC9840070
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License Number State | MO
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