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General NPI Number Information
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NPI Number | 1518650969
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Entity Type | Organization
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Legal Business Name | SAINT LOUIS ANGELIC CAREGIVERS LLC
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 735 AVENUE H
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City | SAINT LOUIS
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State | MO
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Zip | 63125-1434
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Country | US
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Telephone | 314-601-4345
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Fax | 314-544-4413
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Provider Business Mailing Address
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Address Line | 735 AVENUE H
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City | SAINT LOUIS
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State | MO
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Zip | 63125-1434
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Country | US
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Telephone | 314-601-4345
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Fax | 314-544-4413
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Authorized Official
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Title or Position | MEMBER/EXECUTIVE DIRECTOR
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Name | LINDITA SOTIR POLLO
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Credential | CAREGIVER
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Telephone | 314-398-8378
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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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