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General NPI Number Information
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NPI Number | 1205898574
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD GREAT RIVERS-MISSOURI
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 4251 FOREST PARK AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2810
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Country | US
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Telephone | 314-531-7526
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Fax | 314-531-3190
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Provider Business Mailing Address
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Address Line | 4251 FOREST PARK AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2810
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Country | US
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Telephone | 314-531-7526
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Fax | 314-531-3190
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Authorized Official
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Title or Position | VP OF BUSINESS OP
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Name | KATIE KLEIN
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Credential |
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Telephone | 314-531-7526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 2009004523
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 520524208
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License Number State | MO
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