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General NPI Number Information
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NPI Number | 1508789314
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Entity Type | Organization
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Legal Business Name | EMPOWERED CHOICE HOME & COMMUNITY SERVICES
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 18 DUFFY CT
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City | SAINT PETERS
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State | MO
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Zip | 63376-4650
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Country | US
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Telephone | 314-882-9170
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Fax |
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Provider Business Mailing Address
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Address Line | 18 DUFFY CT
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City | SAINT PETERS
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State | MO
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Zip | 63376-4650
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Country | US
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Telephone | 314-882-9170
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CASSIE DEONNE GREEN
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Credential |
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Telephone | 314-882-9170
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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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