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General NPI Number Information
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NPI Number | 1619348067
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Entity Type | Organization
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Legal Business Name | EMEREST HEALTH CDS OF MISSOURI
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 9270 OLIVE BLVD
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City | OLIVETTE
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State | MO
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Zip | 63132-3204
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Country | US
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Telephone | 314-279-4700
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Fax | 314-279-4702
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Provider Business Mailing Address
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Address Line | 731 HYDE DR
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City | O FALLON
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State | MO
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Zip | 63366-7571
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | YANKEL BERNATH
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Credential |
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Telephone | 314-279-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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