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NPI 1366306425

NPI 1366306425 : AMEDI DIABETOLOGY CONSULTING LLC : BRIDGETON, MO

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General NPI Number Information
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    NPI Number           |    1366306425
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMEDI DIABETOLOGY CONSULTING LLC 
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Dates
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    Enumeration Date     |    12/12/2025
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    3394 MCKELVEY RD STE 102 
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    City                 |    BRIDGETON
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    State                |    MO
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    Zip                  |    63044-2531
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    Country              |    US
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    Telephone            |    314-325-2539
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    Fax                  |    205-793-7382
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Provider Business Mailing Address
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    Address Line         |    117 S LEXINGTON ST STE 100 
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    City                 |    HARRISONVILLE
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    State                |    MO
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    Zip                  |    64701-2443
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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    |    MANAGING MEMBER
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    Name                 |    DR. KAHEE  MOHAMMED 
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    Credential           |    MD
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    Telephone            |    314-489-5980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QB0505X
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    Taxonomy Name        |    Diabetology Physician
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    License Number       |    
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    License Number State |    
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