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General NPI Number Information
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NPI Number | 1720934870
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Entity Type | Organization
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Legal Business Name | FRONTLINE HEALTHCARE LLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 3313 E 113TH TER APT B
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City | KANSAS CITY
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State | MO
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Zip | 64137-2260
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Country | US
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Telephone | 314-806-4817
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Fax |
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Provider Business Mailing Address
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Address Line | 701 MARKET ST STE 110
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City | SAINT LOUIS
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State | MO
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Zip | 63101-1824
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED AGENT
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Name | FADUMO AHMED
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Credential | AHMED
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Telephone | 314-806-4817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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