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General NPI Number Information
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NPI Number | 1306050273
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Entity Type | Individual
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Provider Name | AMANA N NASIR M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 615 S NEW BALLAS RD CHILDREN'S HOSPITAL, GROUND FLOOR, SUITE Y-G224
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8221
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Country | US
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Telephone | 314-251-5550
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Fax | 314-251-5552
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Provider Business Mailing Address
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Address Line | 615 S NEW BALLAS RD STE Y-G230
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8221
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Country | US
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Telephone | 314-251-5550
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Fax | 314-251-5552
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 2010037942
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License Number State | MO
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