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General NPI Number Information
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NPI Number | 1366558512
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Entity Type | Individual
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Provider Name | STEVEN G COUPER PA
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 915 N GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63106-1621
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Country | US
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Telephone | 314-652-4100
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Fax | 314-289-8703
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Provider Business Mailing Address
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Address Line | PO BOX 60352
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City | SAINT LOUIS
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State | MO
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Zip | 63160-0352
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Country | US
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Telephone | 314-362-9123
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Fax | 314-747-3338
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 102335
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License Number State | MO
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