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General NPI Number Information
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NPI Number | 1689004673
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Entity Type | Organization
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Legal Business Name | ADDITIONAL IN HOME CARE, INC.
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 801 S WOODLAWN STE. 27
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City | O FALLON
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State | MO
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Zip | 63366-7646
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Country | US
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Telephone | 636-294-6324
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Fax | 866-277-3475
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Provider Business Mailing Address
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Address Line | 801 WOODLAWN AVE STE 29
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City | O FALLON
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State | MO
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Zip | 63366-7647
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Country | US
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Telephone | 636-294-6324
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Fax | 636-294-6325
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CRYSTAL LYNN DANIELS
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Credential |
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Telephone | 314-497-5990
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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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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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