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General NPI Number Information
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NPI Number | 1679948673
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Entity Type | Organization
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Legal Business Name | BELLA'S NURTURING HAND, INC.
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 1360 S 5TH ST STE 362
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2449
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Country | US
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Telephone | 636-896-4363
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Fax | 636-896-4019
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Provider Business Mailing Address
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Address Line | 1360 S 5TH ST STE 362
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2449
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Country | US
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Telephone | 636-896-4363
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Fax | 636-896-4019
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LAQUESHA STANCIEL
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Credential |
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Telephone | 314-973-3075
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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 | 22569308
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License Number State | MO
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