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General NPI Number Information
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NPI Number | 1588151880
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Entity Type | Organization
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Legal Business Name | SACRED HANDS LLC
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 9434 LACKLAND RD
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City | SAINT LOUIS
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State | MO
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Zip | 63114-3601
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Country | US
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Telephone | 636-735-0898
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Fax | 314-222-9145
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Provider Business Mailing Address
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Address Line | 9434 LACKLAND RD
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City | SAINT LOUIS
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State | MO
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Zip | 63114-3601
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Country | US
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Telephone | 636-735-0898
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Fax | 314-222-9145
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Authorized Official
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Title or Position | OWNER
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Name | DAVIDA BRYANT
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Credential |
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Telephone | 314-222-9029
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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 | LC9846226
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License Number State | MO
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