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General NPI Number Information
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NPI Number | 1144770447
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Entity Type | Organization
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Legal Business Name | STUDYMETRIX RESEARCH, LLC
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 3862 MEXICO RD
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3041
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Country | US
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Telephone | 636-387-5100
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Fax | 636-317-1090
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Provider Business Mailing Address
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Address Line | 3862 MEXICO RD
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City | SAINT CHARLES
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State | MO
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Zip | 63303-3041
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Country | US
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Telephone | 636-387-5100
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Fax | 636-317-1090
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | TIMOTHY R SMITH
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Credential | MD
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Telephone | 636-387-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number | LC001484353
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License Number State | MO
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