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General NPI Number Information
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NPI Number | 1871079731
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Entity Type | Organization
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Legal Business Name | GLOBAL HEALTH CONSUMER DIRECTED SERVICES LLC
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 2536 S OLD HIGHWAY 94
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City | SAINT CHARLES
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State | MO
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Zip | 63303-5612
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Country | US
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Telephone | 636-244-1287
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Fax | 636-244-1288
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Provider Business Mailing Address
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Address Line | 2536 S OLD HIGHWAY 94
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City | SAINT CHARLES
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State | MO
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Zip | 63303-5612
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Country | US
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Telephone | 636-244-1287
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Fax | 636-244-1287
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Authorized Official
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Title or Position | DIRECTOR
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Name | BREONNA WRICE
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Credential |
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Telephone | 314-728-0324
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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 | MO
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