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General NPI Number Information
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NPI Number | 1548777618
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Entity Type | Organization
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Legal Business Name | THE GOOD SHEPHERD ORGANIZATION
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 3149 MERAMEC ST
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City | SAINT LOUIS
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State | MO
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Zip | 63118-4338
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Country | US
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Telephone | 314-932-5747
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Fax |
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Provider Business Mailing Address
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Address Line | 3149 MERAMEC ST
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City | SAINT LOUIS
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State | MO
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Zip | 63118-4338
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARIE KALAHER
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Credential |
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Telephone | 314-932-5747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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