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General NPI Number Information
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NPI Number | 1629023676
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Entity Type | Organization
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Legal Business Name | FAITH HOSPICE INCORPORATED
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 4150 CRESCENT DR
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City | SAINT LOUIS
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State | MO
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Zip | 63129-1005
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Country | US
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Telephone | 314-892-4441
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Fax | 314-892-4478
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Provider Business Mailing Address
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Address Line | 4150 CRESCENT DR
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City | SAINT LOUIS
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State | MO
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Zip | 63129-1005
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Country | US
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Telephone | 314-892-4441
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Fax | 314-892-4478
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | MRS. AVA FAITH WOELM
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Credential | RN, CHPN
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Telephone | 314-892-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | MO
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