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NPI 1568831147

NPI 1568831147 : ABOVE AND BEYOND CARE LLC : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1568831147
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABOVE AND BEYOND CARE LLC 
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Dates
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    Enumeration Date     |    09/24/2015
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    Last Update Date     |    06/16/2021
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Provider Practice Location Address
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    Address Line         |    23 N OAKS PLZ STE 226 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63121-2917
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    Country              |    US
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    Telephone            |    314-756-0008
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    Fax                  |    314-756-0009
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Provider Business Mailing Address
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    Address Line         |    23 N OAKS PLZ STE 226 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63121-2917
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    Country              |    US
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    Telephone            |    314-756-0008
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    Fax                  |    314-756-0009
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     ROBIN  REED 
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    Credential           |    
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    Telephone            |    314-756-0008
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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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