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General NPI Number Information
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NPI Number | 1821440579
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Entity Type | Organization
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Legal Business Name | CAREGIVER'S CHOICE LLC
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 12 GRAVIS STATION ROAD
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City | HOUSE SPRINGS
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State | MO
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Zip | 63051
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Country | US
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Telephone | 636-385-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 624 SANCHO CIR
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City | D FALLON
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State | MO
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Zip | 63368
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Country | US
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Telephone | 636-385-3500
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | NICKI SHONNELL WHITE
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Credential | RN
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Telephone | 636-385-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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