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General NPI Number Information
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NPI Number | 1831216068
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Entity Type | Organization
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Legal Business Name | P.M.C.C. HOMEMAKER CHORE SVC.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 437 THOMAS AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63135-2658
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Country | US
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Telephone | 314-522-0002
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Fax | 314-522-0009
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Provider Business Mailing Address
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Address Line | 437 THOMAS AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63135-2658
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Country | US
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Telephone | 314-522-0002
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Fax | 314-522-0009
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Authorized Official
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Title or Position | ASSIST. ADMIN.
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Name | MR. SHADRACH ANTIONE MCGILL
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Credential |
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Telephone | 314-732-7506
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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 |
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License Number State |
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