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General NPI Number Information
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NPI Number | 1861902017
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND HOME HEALTH CARES CORPORATION
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 10/02/2017
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Provider Practice Location Address
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Address Line | 7251 OLIVE BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63130-2322
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Country | US
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Telephone | 314-749-7618
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Fax | 314-862-6155
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Provider Business Mailing Address
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Address Line | 7251 OLIVE BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63130-2322
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Country | US
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Telephone | 314-749-7618
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Fax | 314-862-6155
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Authorized Official
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Title or Position | OWNER
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Name | IESHA JOSEPH
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Credential | OWNER
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Telephone | 314-749-7618
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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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