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General NPI Number Information
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NPI Number | 1245781459
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Entity Type | Organization
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Legal Business Name | FRESENIUS VASCULAR CARE ST LOUIS ASC LLC
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Dates
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Enumeration Date | 10/23/2016
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 201 DUNN RD
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City | FLORISSANT
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State | MO
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Zip | 63031-7928
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Country | US
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Telephone | 314-830-3841
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Fax | 314-831-0153
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Provider Business Mailing Address
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Address Line | PO BOX 419581
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City | BOSTON
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State | MA
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Zip | 02241-9581
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Country | US
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Telephone | 610-644-8900
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Fax |
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Authorized Official
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Title or Position | SENIOR VP OPERATIONS
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Name | GREGG MILLER
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Credential | MD
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Telephone | 717-515-4048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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