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General NPI Number Information
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NPI Number | 1194823195
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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 | 09/21/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 4921 PARKVIEW PL 7TH FLOOR
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1032
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Country | US
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Telephone | 314-747-8646
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Fax | 314-747-4579
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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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 | 314-362-7356
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Fax | 314-747-4579
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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 | 314-273-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 005310
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License Number State | MO
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