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General NPI Number Information
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NPI Number | 1831998293
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Entity Type | Organization
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Legal Business Name | BJC HOME CARE SERVICES
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1040 N MASON RD STE 120
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6361
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Country | US
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Telephone | 314-953-2000
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Fax | 314-953-2158
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Provider Business Mailing Address
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Address Line | 4249 CLAYTON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1718
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Country | US
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Telephone | 314-953-2000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELA MARTIN-DAVIS
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Credential |
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Telephone | 253-951-7371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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