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General NPI Number Information
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NPI Number | 1245493402
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Entity Type | Individual
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Provider Name | SIDDHARTH KAUL MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 12266 DE PAUL DR STE 100
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City | BRIDGETON
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State | MO
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Zip | 63044-2541
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Country | US
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Telephone | 314-738-2770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 955534
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City | SAINT LOUIS
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State | MO
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Zip | 63195-0001
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Country | US
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Telephone |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2012009717
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 125-055311
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD221827
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | U3562
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME161484
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME161484
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License Number State | FL
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