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General NPI Number Information
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NPI Number | 1063359263
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Entity Type | Organization
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Legal Business Name | WASHINGTON UNIVERSITY SCHOOL OF MEDICI
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 4488 FOREST PARK AVE STE 301
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2215
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Country | US
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Telephone | 314-369-9430
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Fax | 314-747-7060
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Provider Business Mailing Address
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Address Line | 4488 FOREST PARK AVE STE 301
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2215
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Country | US
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Telephone | 314-369-9430
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Fax | 314-747-7060
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Authorized Official
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Title or Position | RESEARCH COORDINATOR
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Name | MS. WENDY CATHERINE SIGURDSON
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Credential | RN, BSCN, MHSC
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Telephone | 314-369-9430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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