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General NPI Number Information
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NPI Number | 1972475721
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Entity Type | Organization
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Legal Business Name | OAK BRIDGE HOMECARE LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 725 KINGSLAND AVE STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63130-3187
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Country | US
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Telephone | 314-228-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 725 KINGSLAND AVE STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63130-3187
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Country | US
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Telephone | 314-228-8600
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Fax |
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Authorized Official
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Title or Position | EXEC DIRECTOR
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Name | MISS MONIQUE Y WILLIAMS
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Credential |
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Telephone | 314-534-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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