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General NPI Number Information
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NPI Number | 1205050879
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Entity Type | Individual
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Provider Name | PING HOU M.D., PHD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 03/19/2011
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Provider Practice Location Address
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Address Line | 660 S EUCLID AVE BJH NORTH CAMPUS, SUITE B (#2303)
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 773-817-7119
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Fax |
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE BJH NORTH CAMPUS, SUITE B (#2303)
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 773-817-7119
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 90-09-355
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License Number State | MO
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