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General NPI Number Information
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NPI Number | 1588160493
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Entity Type | Organization
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Legal Business Name | ST JOHN'S CARE
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 2024 ARKANSAS VALLEY DR STE 601
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City | LITTLE ROCK
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State | AR
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Zip | 72212-4145
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Country | US
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Telephone | 501-313-2811
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Fax | 501-325-0385
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Provider Business Mailing Address
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Address Line | 2024 ARKANSAS VALLEY DR STE 601
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City | LITTLE ROCK
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State | AR
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Zip | 72212-4145
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Country | US
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Telephone | 501-313-2811
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Fax | 501-325-0385
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Authorized Official
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Title or Position | CEO
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Name | ANGELO VOLPI
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Credential |
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Telephone | 501-313-2811
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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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