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General NPI Number Information
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NPI Number | 1114269040
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Entity Type | Individual
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Provider Name | MICHELE J SOEST APRN
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Gender | Female
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 627 WESTWOOD DR S
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City | FESTUS
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State | MO
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Zip | 63028-2062
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Country | US
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Telephone | 636-931-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 SAINT CHRISTOPHER WAY
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City | ARNOLD
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State | MO
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Zip | 63010-3980
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Country | US
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Telephone | 636-464-6490
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Fax | 636-464-6490
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 071423
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License Number State | MO
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