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General NPI Number Information
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NPI Number | 1497356919
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Entity Type | Organization
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Legal Business Name | CARDINAL RITTER INSTITUTE-RESIDENT SERVICES CORP
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 5890 EICHELBERGER ST
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3454
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Country | US
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Telephone | 314-752-1901
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Fax | 314-481-3554
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Provider Business Mailing Address
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Address Line | 5890 EICHELBERGER ST
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3454
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Country | US
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Telephone | 314-752-1901
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Fax | 314-481-3554
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Authorized Official
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Title or Position | ADMIN
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Name | CHRISTINE HANNIGAN
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Credential |
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Telephone | 314-752-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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