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General NPI Number Information
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NPI Number | 1073440723
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Entity Type | Organization
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Legal Business Name | BETTY JEAN KERR PEOPLE'S HEALTH CENTER
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 11642 W FLORISSANT AVE
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City | FLORISSANT
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State | MO
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Zip | 63033-6723
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Country | US
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Telephone | 314-838-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 DELMAR BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63112-2617
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Country | US
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Telephone | 314-367-7848
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MARK SANFORD
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Credential |
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Telephone | 314-367-7848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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