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General NPI Number Information
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NPI Number | 1770921926
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Entity Type | Organization
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Legal Business Name | ABUNDANT CONSUMER DIRECT SERVICES
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 230 S BEMISTON AVE SUITE 540
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City | CLAYTON
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State | MO
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Zip | 63105-1907
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Country | US
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Telephone | 331-472-7870
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Fax | 866-255-9006
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Provider Business Mailing Address
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Address Line | 230 S BEMISTON AVE SUITE 540
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City | CLAYTON
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State | MO
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Zip | 63105-1907
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Country | US
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Telephone | 331-472-7870
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Fax | 866-255-9006
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA VANTRICE GREER
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Credential | TRADE ASSCIATE DEGRE
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Telephone | 314-727-8700
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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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