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General NPI Number Information
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NPI Number | 1235431198
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Entity Type | Individual
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Provider Name | SAMARA EPPS MCELROY DO
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Gender | Female
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 201 BJC SAINT PETERS DR STE 200
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City | SAINT PETERS
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State | MO
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Zip | 63376-3386
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Country | US
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Telephone | 636-916-9615
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Fax | 636-916-9850
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Provider Business Mailing Address
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Address Line | 201 BJC SAINT PETERS DR STE 200
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City | SAINT PETERS
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State | MO
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Zip | 63376-3386
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Country | US
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Telephone | 636-916-9615
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Fax | 636-916-9850
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2018036517
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0052187
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License Number State | CO
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