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General NPI Number Information
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NPI Number | 1922271469
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Entity Type | Organization
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Legal Business Name | M.A.W. CARES, INC
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 5082 PAGE BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63113-1602
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Country | US
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Telephone | 314-367-3083
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Fax | 314-367-3084
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Provider Business Mailing Address
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Address Line | 5082 PAGE BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63113-1602
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Country | US
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Telephone | 314-367-3083
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Fax | 314-367-3084
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Authorized Official
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Title or Position | ADMINISTERATOR
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Name | MS. MARGARETT AMANDA WAITS
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Credential | REGISTERED NURSE
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Telephone | 314-367-3083
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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 | 284815701
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License Number State | MO
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