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General NPI Number Information
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NPI Number | 1104866656
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Entity Type | Organization
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Legal Business Name | WASHINGTON UNIVERSITY
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 660 S EUCLID AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-747-4873
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Fax | 314-747-4876
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 314-273-0770
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR MANAGED CARE
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Name | MS. CATHY L EGHIGIAN
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Credential |
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Telephone | 314-273-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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