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General NPI Number Information
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NPI Number | 1679745251
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Entity Type | Organization
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Legal Business Name | AMEDISYS MISSOURI, L.L.C.
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 2955 KANELL BLVD
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City | POPLAR BLUFF
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State | MO
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Zip | 63901
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Country | US
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Telephone | 573-727-9687
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Fax | 573-727-9715
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Provider Business Mailing Address
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Address Line | 3854 AMERICAN WAY SUITE A
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City | BATON ROUGE
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State | LA
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Zip | 70816-4013
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL B KUSSEROW
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Credential |
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Telephone | 225-292-2031
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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 | 751-4HH
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 804-5HH
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 804-6HH
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 804-7HH
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 804-10HH
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License Number State | MO
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