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General NPI Number Information
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NPI Number | 1437354032
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Entity Type | Organization
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Legal Business Name | AAA SERVICES, INC.
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 4131 BEGG AVENUE
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City | ST. LOUIS
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State | MS
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Zip | 63121-3103
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Country | US
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Telephone | 314-381-1180
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Fax | 314-335-7241
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Provider Business Mailing Address
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Address Line | 4131 BEGG BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63121-3103
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Country | US
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Telephone | 314-381-1180
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Fax | 314-381-1180
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ESTELLE CLARK
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Credential |
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Telephone | 314-381-1180
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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 | 266223403
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License Number State | MO
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