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General NPI Number Information
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NPI Number | 1871908392
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Entity Type | Organization
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Legal Business Name | ASB HOME HEALTH LLC
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 720 UNION BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1038
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Country | US
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Telephone | 314-504-5332
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Fax |
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Provider Business Mailing Address
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Address Line | 5931 WATERMAN BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63112-1517
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Country | US
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Telephone | 314-504-5332
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | LEDA HARRIS
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Credential |
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Telephone | 314-504-3332
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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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