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General NPI Number Information
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NPI Number | 1609195940
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Entity Type | Organization
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Legal Business Name | B&D IN-HOME SERVICES LLC
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 6154 MADISON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63134-2104
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Country | US
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Telephone | 314-524-3525
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Fax | 314-524-0066
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Provider Business Mailing Address
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Address Line | 6154 MADISON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63134-2104
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Country | US
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Telephone | 314-524-3525
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Fax | 314-524-0066
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. BRYAN KEITH SANDERS SR.
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Credential |
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Telephone | 314-524-3525
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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 | MO
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