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General NPI Number Information
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NPI Number | 1932445830
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Entity Type | Organization
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Legal Business Name | ABIDING FAITH HEALTH CARE SERVICES
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Dates
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Enumeration Date | 12/20/2012
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Last Update Date | 12/20/2012
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Provider Practice Location Address
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Address Line | 9010 HALLS FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63147-1701
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Country | US
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Telephone | 314-954-2437
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Fax | 314-388-0804
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Provider Business Mailing Address
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Address Line | 9010 HALLS FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63147-1701
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Country | US
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Telephone | 314-954-2437
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Fax | 314-388-0804
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Authorized Official
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Title or Position | R.N. ADMINISTRATOR
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Name | MARY PATRICIA MCCARTHY
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Credential |
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Telephone | 314-954-2437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 163WC0400X
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License Number State | MO
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