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General NPI Number Information
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NPI Number | 1699040725
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Entity Type | Organization
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Legal Business Name | PREMIUM IN-HOME CARE LLC
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 4065 S GRAND BLVD STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63118-3418
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Country | US
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Telephone | 314-827-9045
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Fax | 314-657-0179
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Provider Business Mailing Address
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Address Line | 4065 S GRAND BLVD STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63118-3418
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Country | US
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Telephone | 314-827-9045
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Fax | 314-657-0179
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Authorized Official
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Title or Position | PRESIDENT
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Name | BASHEER HAJI MOHAMMAD
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Credential |
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Telephone | 314-827-9045
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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 | 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 |
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License Number State | MO
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