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General NPI Number Information
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NPI Number | 1659683712
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Entity Type | Organization
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Legal Business Name | AURA HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11905 VILLA DORADO DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-4703
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Country | US
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Telephone | 314-322-0017
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1206
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City | BALLWIN
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State | MO
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Zip | 63022-1206
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Country | US
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Telephone | 314-322-0017
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RAJ SAJID
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Credential | M.D.
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Telephone | 773-699-7867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MO
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