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General NPI Number Information
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NPI Number | 1154215895
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Entity Type | Organization
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Legal Business Name | MEDS INPATIENT SERVICES ASSOCIATES, INC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 400 N PLEASANT AVE
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City | CENTRALIA
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State | IL
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Zip | 62801-3056
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Country | US
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Telephone | 618-436-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 320 E HIGHWAY 50
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City | O FALLON
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State | IL
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Zip | 62269-2704
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Country | US
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Telephone | 618-206-3310
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARMON GLOVER III
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Credential | DO
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Telephone | 618-206-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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