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General NPI Number Information
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NPI Number | 1568991966
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Entity Type | Organization
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Legal Business Name | HOPEWELL IN-HOME CARE LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 455 OLIAN DR.
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City | HAZELWOOD
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State | MO
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Zip | 63042-1409
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Country | US
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Telephone | 314-269-7499
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Fax |
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Provider Business Mailing Address
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Address Line | 455 OLIAN DR
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City | HAZELWOOD
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State | MO
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Zip | 63042-1409
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Country | US
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Telephone | 314-269-7499
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | GRACE N. UIRU
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Credential |
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Telephone | 314-269-7499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2014009208
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License Number State | MO
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