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General NPI Number Information
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NPI Number | 1760427256
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Entity Type | Organization
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Legal Business Name | ASTVA HOME HEALTH CONSULTING, INC.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 34 N BRENTWOOD BLVD STE. 16
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City | CLAYTON
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State | MO
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Zip | 63105-3746
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Country | US
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Telephone | 314-863-3700
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Fax | 314-863-3144
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Provider Business Mailing Address
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Address Line | 34 N BRENTWOOD BLVD STE. 16
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City | CLAYTON
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State | MO
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Zip | 63105-3746
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Country | US
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Telephone | 314-863-3700
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Fax | 314-863-3144
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Authorized Official
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Title or Position | VICE PRESIDENT AND GENERAL COUNSEL
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Name | MR. STEPHEN LANE UKMAN
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Credential | J.D.
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Telephone | 314-863-3700
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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 | 26-7599
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License Number State | MO
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