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General NPI Number Information
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NPI Number | 1699349621
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Entity Type | Organization
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Legal Business Name | 1ST ALLY HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 3616 UPTON ST
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City | SAINT LOUIS
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State | MO
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Zip | 63116-4037
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Country | US
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Telephone | 314-833-3661
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Fax | 314-228-0134
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Provider Business Mailing Address
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Address Line | 3616 UPTON ST
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City | SAINT LOUIS
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State | MO
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Zip | 63116-4037
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Country | US
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Telephone | 314-833-3661
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Fax | 314-228-0134
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Authorized Official
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Title or Position | OWNER AND MANAGER
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Name | TENIESHA CLAY
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Credential |
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Telephone | 314-833-3661
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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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