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General NPI Number Information
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NPI Number | 1750946836
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Entity Type | Organization
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Legal Business Name | ELITE CAREGIVERS STL, LLC
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Dates
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Enumeration Date | 05/05/2019
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Last Update Date | 05/05/2019
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Provider Practice Location Address
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Address Line | 1418 SIOUX TRCE
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City | SAINT CHARLES
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State | MO
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Zip | 63304-7344
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Country | US
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Telephone | 877-730-4750
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 SIOUX TRCE
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City | SAINT CHARLES
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State | MO
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Zip | 63304-7344
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Country | US
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Telephone | 877-730-4750
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Fax | 314-628-0404
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER/CDS COORDIN
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Name | DARROLYN S BUCHANAN
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Credential |
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Telephone | 877-730-4750
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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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