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General NPI Number Information
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NPI Number | 1588815153
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Entity Type | Organization
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Legal Business Name | PARAQUAD IN-HOME SERVICES
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 5240 OAKLAND AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1436
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Country | US
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Telephone | 314-289-4200
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Fax | 314-289-4201
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Provider Business Mailing Address
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Address Line | 5240 OAKLAND AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1436
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Country | US
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Telephone | 314-289-4200
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Fax | 314-289-4201
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT FUNK
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Credential |
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Telephone | 314-289-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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