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General NPI Number Information
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NPI Number | 1194517250
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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 | 05/22/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1600 S BRENTWOOD BLVD STE 100
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City | BRENTWOOD
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State | MO
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Zip | 63144-1301
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Country | US
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Telephone | 314-918-8827
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7412065
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 314-918-8827
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR MANAGED CARE
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Name | CATHY EGHIGIAN
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Credential |
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Telephone | 618-791-0975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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