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General NPI Number Information
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NPI Number | 1588191399
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Entity Type | Organization
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Legal Business Name | PURITY HOME HEALTHCARE LTD
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 2025 TWIN FAWNS CT
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City | SAINT PETERS
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State | MO
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Zip | 63376-7338
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Country | US
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Telephone | 314-743-9559
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Fax | 636-284-7943
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Provider Business Mailing Address
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Address Line | 2025 TWIN FAWNS CT
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City | SAINT PETERS
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State | MO
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Zip | 63376-7338
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Country | US
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Telephone | 314-743-9559
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Fax | 636-284-7943
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Authorized Official
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Title or Position | DIRECTOR
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Name | CRYSTAL TILLMAN
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Credential |
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Telephone | 314-743-9559
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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 |
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License Number State |
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