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General NPI Number Information
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NPI Number | 1144518317
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Entity Type | Organization
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Legal Business Name | SAINT MARY'S HEALTH CENTER
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 6420 CLAYTON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1811
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Country | US
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Telephone | 314-768-8373
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Fax |
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Provider Business Mailing Address
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Address Line | 533 CLARA AVE APT 11
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City | SAINT LOUIS
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State | MO
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Zip | 63112-1933
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Country | US
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Telephone | 314-698-8895
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MOREY GARDNER
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Credential | MD
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Telephone | 314-768-8801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | MO
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