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General NPI Number Information
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NPI Number | 1093117335
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Entity Type | Organization
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Legal Business Name | TRUE HEALTH INTEGRATION AND SYNERGY
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 6311 RONALD REAGAN DR #167
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-2681
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Country | US
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Telephone | 314-735-5197
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Fax | 314-338-3495
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Provider Business Mailing Address
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Address Line | 6311 RONALD REAGAN DR #167
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-2681
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Country | US
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Telephone | 314-735-5197
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Fax | 314-338-3495
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES D SILLS-POWELL
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Credential | DPM
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Telephone | 314-735-5197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2012040658
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License Number State | MO
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