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General NPI Number Information
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NPI Number | 1336269216
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Entity Type | Individual
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Provider Name | CLAUDIA T. VIAMONTES M.D., PH.D
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 522 N. NEW BALLAS SUITE 332
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City | ST. LOUIS
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State | MO
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Zip | 63141
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Country | US
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Telephone | 314-989-0542
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Fax | 618-876-7596
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Provider Business Mailing Address
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Address Line | 2120 MADISON AVE SUITE 404
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City | GRANITE CITY
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State | IL
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Zip | 62040
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Country | US
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Telephone | 618-876-7515
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Fax | 618-876-7596
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R6P47
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | R6P47
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | R6P47
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License Number State | MO
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