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General NPI Number Information
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NPI Number | 1326740291
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Entity Type | Individual
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Provider Name | MICHAEL JAMES PADGETT
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Gender | Male
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 07/04/2024
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Provider Practice Location Address
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Address Line | 4921 PARKVIEW PL
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1032
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Country | US
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Telephone | 314-362-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 4227 MCPHERSON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2907
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2024022223
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License Number State | MO
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