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General NPI Number Information
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NPI Number | 1013872712
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Entity Type | Individual
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Provider Name | ELIZABETH VON PLPC
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Gender | Female
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 117 N KIRKWOOD RD
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City | SAINT LOUIS
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State | MO
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Zip | 63122-4362
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Country | US
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Telephone | 314-270-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 185 TURNBERRY PL APT K
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City | SAINT PETERS
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State | MO
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Zip | 63376-4457
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Country | US
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Telephone | 636-697-5805
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MO
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