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General NPI Number Information
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NPI Number | 1356975858
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Entity Type | Organization
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Legal Business Name | COMPLETE QUALITY CARE LLC
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 14722 RUE PARDISSE LN
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City | FLORISSANT
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State | MO
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Zip | 63034-3108
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Country | US
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Telephone | 314-680-9046
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Fax |
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Provider Business Mailing Address
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Address Line | 14722 RUE PARDISSE LN
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City | FLORISSANT
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State | MO
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Zip | 63034-3108
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Country | US
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Telephone | 314-680-9046
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. EARLENE BROWN
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Credential | MA,BA,CNA
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Telephone | 314-445-8521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 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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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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