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NPI 1083286512

NPI 1083286512 : DAMIEN ABREU MD, PHD : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1083286512
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    Entity Type          |    Individual 
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    Provider Name        |    DAMIEN ABREU MD, PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/14/2021
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    Last Update Date     |    06/10/2025
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Provider Practice Location Address
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    Address Line         |    BARNES-JEWISH HOSPITAL 4590 CHILDREN'S PLACE MS 90-29-928
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63110-1093
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    Country              |    US
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    Telephone            |    314-368-3435
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6201 GREENLEIGH AVE 
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    City                 |    MIDDLE RIVER
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    State                |    MD
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    Zip                  |    21220-2004
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    Country              |    US
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    Telephone            |    410-933-2704
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    Fax                  |    410-500-4266
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    2021021796
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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