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General NPI Number Information
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NPI Number | 1811365778
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Entity Type | Organization
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Legal Business Name | ABSOLUTE QUALITY HEALTH CARE INC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 5988 MID RIVERS MALL DR SUITE 211
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City | SAINT PETERS
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State | MO
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Zip | 63304-7119
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Country | US
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Telephone | 563-650-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 5988 MID RIVERS MALL DR SUITE 211
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City | SAINT PETERS
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State | MO
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Zip | 63304-7119
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Country | US
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Telephone | 563-650-0095
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GERALD E. MCCLELLAN
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Credential |
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Telephone | 563-650-0095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 12172
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License Number State | MO
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