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General NPI Number Information
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NPI Number | 1295505667
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Entity Type | Individual
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Provider Name | NATHAN A OATIS MSW
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Gender | Male
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 4444 FOREST PARK AVE STE 2600
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2212
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Country | US
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Telephone | 314-286-1700
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Fax | 314-362-7017
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Provider Business Mailing Address
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Address Line | PO BOX 60352
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City | SAINT LOUIS
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State | MO
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Zip | 63160-0352
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Country | US
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Telephone | 314-286-1700
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Fax | 314-362-7017
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2021049186
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License Number State | MO
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