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General NPI Number Information
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NPI Number | 1336990258
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Entity Type | Individual
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Provider Name | DALILA FAYOLA FRANKLIN
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Gender | Female
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1438 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1027
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Country | US
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Telephone | 314-617-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5112 RAYMOND AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63113-1617
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Country | US
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Telephone | 314-497-0334
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2023035144
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License Number State | MO
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