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General NPI Number Information
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NPI Number | 1700671914
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Entity Type | Organization
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Legal Business Name | MISSOURI CARE, INC.
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1831 CHESTNUT ST
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City | SAINT LOUIS
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State | MO
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Zip | 63103-2236
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Country | US
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Telephone | 314-923-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 1831 CHESTNUT ST
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City | SAINT LOUIS
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State | MO
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Zip | 63103-2236
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Country | US
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Telephone | 404-387-8275
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Fax |
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Authorized Official
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Title or Position | MEDICARE MARKET PRESIDENT
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Name | MELISA HINDERS
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Credential |
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Telephone | 404-387-8275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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