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General NPI Number Information
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NPI Number | 1750244117
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Entity Type | Organization
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Legal Business Name | BARNABAS ACRES LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 37 DOCTORS PARK STE 1
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4903
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Country | US
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Telephone | 573-270-8887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1570
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63702-1570
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Country | US
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Telephone | 573-270-8887
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KEVIN WOOD
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Credential |
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Telephone | 573-270-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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