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General NPI Number Information
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NPI Number | 1780632026
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Entity Type | Organization
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Legal Business Name | ST CLAIR COUNTY HEALTH CENTER
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 530 ARDUSER DR
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City | OSCEOLA
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State | MO
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Zip | 64776-6284
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Country | US
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Telephone | 417-646-8157
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Fax | 417-646-8159
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Provider Business Mailing Address
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Address Line | 530 ARDUSER DR
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City | OSCEOLA
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State | MO
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Zip | 64776-6284
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Country | US
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Telephone | 417-646-8157
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Fax | 417-646-8159
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Authorized Official
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Title or Position | CFO/ADMINISTRATOR
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Name | NANCY MARY STEPHAN
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Credential |
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Telephone | 417-646-8157
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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 | 96-21
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License Number State | MO
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