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General NPI Number Information
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NPI Number | 1184537029
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Entity Type | Organization
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Legal Business Name | WASHINGTON UNIVERSITY
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 3630 S GEYER RD STE 130
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1234
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Country | US
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Telephone | 314-286-1669
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Fax | 314-627-7219
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Provider Business Mailing Address
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Address Line | 4320 FOREST PARK AVE STE 302
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2979
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Country | US
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Telephone | 314-273-4125
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Fax | 314-627-7219
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | PATRICIA NELLIS
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Credential | OTD,OTR/L,FNAP
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Telephone | 314-286-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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