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General NPI Number Information
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NPI Number | 1215083480
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Entity Type | Individual
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Provider Name | ELAINE J. TOON LPC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 5131 LEMAY FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63129-1533
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Country | US
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Telephone | 314-971-0990
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Fax | 314-200-9744
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Provider Business Mailing Address
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Address Line | 4847 LOWNDES DR
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City | SAINT LOUIS
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State | MO
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Zip | 63129-1661
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Country | US
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Telephone | 314-971-0990
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Fax | 314-200-9744
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 000904
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License Number State | MO
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