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General NPI Number Information
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NPI Number | 1609244292
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Entity Type | Organization
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Legal Business Name | CARDINAL HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 09/13/2015
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 1100 N SARAH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63113-3132
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Country | US
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Telephone | 314-241-4663
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Fax | 877-889-0855
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Provider Business Mailing Address
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Address Line | PO BOX 771812
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City | SAINT LOUIS
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State | MO
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Zip | 63177-1812
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Country | US
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Telephone | 314-241-4663
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Fax | 877-889-0855
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Authorized Official
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Title or Position | DIRECTOR
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Name | DORISE ROBINSON
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Credential |
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Telephone | 314-503-1676
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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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