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General NPI Number Information
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NPI Number | 1114097763
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Entity Type | Organization
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Legal Business Name | NUZUM AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 2001 S HANLEY RD SUITE 190
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City | SAINT LOUIS
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State | MO
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Zip | 63144-1518
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Country | US
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Telephone | 314-821-8304
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Fax | 800-327-1957
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Provider Business Mailing Address
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Address Line | 2154 PARDOROYAL DR
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1935
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Country | US
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Telephone | 314-821-8304
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Fax | 800-327-1957
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS ROBERT NUZUM
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Credential | P.T.
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Telephone | 314-821-8304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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