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General NPI Number Information
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NPI Number | 1487517991
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Entity Type | Organization
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Legal Business Name | BEYOND CARE SERVICES MO LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5850 MACKLIND AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3569
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Country | US
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Telephone | 801-429-9671
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Fax |
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Provider Business Mailing Address
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Address Line | 5850 MACKLIND AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3569
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Country | US
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Telephone | 801-429-9671
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | J G
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Credential |
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Telephone | 617-249-4152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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