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General NPI Number Information
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NPI Number | 1790067759
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Entity Type | Organization
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Legal Business Name | CBSI EXCHANGE
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 2061 EXCHANGE DR
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City | SAINT CHARLES
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State | MO
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Zip | 63303-5987
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Country | US
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Telephone | 636-724-5114
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Fax | 636-724-5137
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Provider Business Mailing Address
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Address Line | 2061 EXCHANGE DR
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City | SAINT CHARLES
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State | MO
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Zip | 63303-5987
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Country | US
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Telephone | 636-724-5114
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Fax | 636-724-5137
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. MARRIS COBB
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Credential |
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Telephone | 636-724-5114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 966
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License Number State | MO
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