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General NPI Number Information
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NPI Number | 1003281619
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Entity Type | Organization
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Legal Business Name | WASHINGTON UNIVERSITY
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 150 ENTRANCE WAY
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City | SAINT PETERS
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State | MO
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Zip | 63376-1645
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Country | US
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Telephone | 636-916-9847
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Fax | 636-916-9079
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 636-916-9847
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Fax | 636-916-9079
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Authorized Official
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Title or Position | SR DIRECTOR MANAGED CARE
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Name | MS. CATHY EGHIGIAN
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Credential |
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Telephone | 314-273-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 2015041512
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 2015041512
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License Number State | MO
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