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General NPI Number Information
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NPI Number | 1881385011
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Entity Type | Organization
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Legal Business Name | CROWN HOSPICE OF ST. LOUIS, INC.
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 655 CRAIG RD STE 112
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City | CREVE COEUR
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State | MO
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Zip | 63141-7168
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Country | US
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Telephone | 314-918-5354
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Fax | 314-918-5429
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Provider Business Mailing Address
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Address Line | 655 CRAIG RD STE 112
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City | CREVE COEUR
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State | MO
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Zip | 63141-7168
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY WINTERS
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Credential |
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Telephone | 918-492-6440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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