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General NPI Number Information
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NPI Number | 1447787247
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Entity Type | Organization
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Legal Business Name | DELIVERED VISION IN HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 4144 LINDELL BLVD STE 511
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2955
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Country | US
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Telephone | 314-300-8104
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Fax | 314-300-8114
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Provider Business Mailing Address
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Address Line | 4144 LINDELL BLVD STE 511
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2955
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Country | US
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Telephone | 314-300-8104
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Fax | 314-300-8114
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. SHANTA KANICA MORRIS
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Credential |
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Telephone | 314-300-8104
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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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