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General NPI Number Information
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NPI Number | 1023473279
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Entity Type | Organization
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Legal Business Name | VIOS FERTILITY INSTITUTE ST. LOUIS, LLC
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 347 N LINDBERGH BLVD
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City | CREVE COEUR
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State | MO
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Zip | 63141-7811
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Country | US
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Telephone | 866-258-8467
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Fax | 314-782-2035
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Provider Business Mailing Address
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Address Line | 621 S NEW BALLAS RD TOWER A, SUITE 260
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8232
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JULIE RHEE
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Credential | MD
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Telephone | 617-733-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 036139011
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License Number State | MO
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