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General NPI Number Information
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NPI Number | 1780801837
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Entity Type | Organization
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Legal Business Name | HANDICAP FACILITIES OF ST CHARLES COUNTY
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 156 ST PETERS CENTRE BLVD
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City | ST PETERS
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State | MO
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Zip | 63376-1695
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Country | US
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Telephone | 636-939-3351
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Fax | 636-939-3988
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Provider Business Mailing Address
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Address Line | 156 ST PETERS CENTRE BLVD
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City | ST PETERS
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State | MO
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Zip | 63376-1695
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Country | US
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Telephone | 636-939-3351
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Fax | 636-939-3988
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | JOHN THOELKE
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Credential | CPA
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Telephone | 636-939-3351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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