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General NPI Number Information
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NPI Number | 1699144667
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE IN-HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 5626 W FLORISSANT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63120-2440
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Country | US
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Telephone | 314-383-2273
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Fax | 314-338-6559
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Provider Business Mailing Address
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Address Line | 5923 ALPHA AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63147-1101
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Country | US
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Telephone | 314-383-2273
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Fax | 314-338-6559
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. YOVOUNKA ANTNELLA GUEST
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Credential |
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Telephone | 314-383-2273
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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