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General NPI Number Information
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NPI Number | 1356706105
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Entity Type | Individual
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Provider Name | ANNE CAITLYN MERSCH PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 12/21/2015
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Provider Practice Location Address
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Address Line | 3015 N BALLAS RD
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2329
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Country | US
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Telephone | 314-996-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 940 LORDSHILL ST
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City | SAINT LOUIS
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State | MO
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Zip | 63119-5432
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Country | US
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Telephone | 773-490-2852
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2015031199
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License Number State | MO
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