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General NPI Number Information
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NPI Number | 1952651374
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Entity Type | Organization
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Legal Business Name | UNITED CARE SERVICES CDS LLC
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 1015 LOCUST ST SUITE 1032
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City | SAINT LOUIS
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State | MO
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Zip | 63101-1334
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Country | US
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Telephone | 314-616-0357
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Fax |
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Provider Business Mailing Address
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Address Line | 4209 CLEVELAND AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-3504
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Country | US
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Telephone | 314-616-0357
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TRENIECE STITH
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Credential | MBA
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Telephone | 314-616-0357
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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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