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General NPI Number Information
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NPI Number | 1316787476
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Entity Type | Organization
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Legal Business Name | ARTHRITIS WELLNESS CARE SC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 159 E MCARTHUR DR STE 3
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City | BETHALTO
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State | IL
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Zip | 62010-1918
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Country | US
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Telephone | 618-806-6676
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Fax |
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Provider Business Mailing Address
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Address Line | 691 TRADE CENTER BLVD PMB PPP
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City | CHESTERFIELD
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State | MO
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Zip | 63005
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Country | US
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Telephone | 618-806-6676
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAULAT MUSHTAQ
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Credential | MD
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Telephone | 618-806-6676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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