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General NPI Number Information
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NPI Number | 1659259786
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Entity Type | Organization
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Legal Business Name | KASEY PAIGE HEALTH CARE CENTER LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3715 JAMIESON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63109-1109
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Country | US
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Telephone | 314-781-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 917 BROADWAY
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City | HANNIBAL
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State | MO
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Zip | 63401-4200
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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 | JOSHUA WILLIAMS
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Credential |
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Telephone | 573-795-5012
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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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