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General NPI Number Information
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NPI Number | 1720214760
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Entity Type | Organization
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Legal Business Name | ESPECIAL NEEDS, LLC
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 1850 BORMAN COURT
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City | SAINT LOUIS
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State | MO
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Zip | 63146
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Country | US
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Telephone | 314-692-2424
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Fax | 800-664-4534
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Provider Business Mailing Address
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Address Line | 1850 BORMAN COURT
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City | SAINT LOUIS
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State | MO
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Zip | 63146
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Country | US
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Telephone | 314-692-2424
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Fax | 800-664-4534
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Authorized Official
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Title or Position | SALES MANAGER
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Name | SCOTT A KOURI
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Credential |
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Telephone | 314-692-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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