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General NPI Number Information
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NPI Number | 1346260551
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Entity Type | Organization
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Legal Business Name | MEG ASSOCIATES OF ST. LOUIS, L.L.C.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 3655 VISTA AVE TG055
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City | SAINT LOUIS
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State | MO
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Zip | 63110-2539
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Country | US
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Telephone | 314-577-8600
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Fax | 314-577-8605
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Provider Business Mailing Address
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Address Line | 21 W 3RD ST
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City | WASHINGTON
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State | MO
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Zip | 63090-2630
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Country | US
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Telephone | 636-239-4550
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Fax | 636-239-0232
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Authorized Official
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Title or Position | CFO
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Name | DONNA MARIE HEBB
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Credential |
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Telephone | 636-239-4550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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