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NPI 1376313437

NPI 1376313437 : DR ROOMANA S ARAIN LLC : SAINT PETERS, MO

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General NPI Number Information
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    NPI Number           |    1376313437
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR ROOMANA S ARAIN LLC 
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Dates
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    Enumeration Date     |    01/08/2024
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    Last Update Date     |    01/08/2024
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Provider Practice Location Address
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    Address Line         |    1 MID RIVERS MALL DR STE 360 
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    City                 |    SAINT PETERS
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    State                |    MO
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    Zip                  |    63376-4486
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    Country              |    US
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    Telephone            |    636-386-4792
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    Fax                  |    314-782-5452
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Provider Business Mailing Address
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    Address Line         |    1 MID RIVERS MALL DR STE 360 
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    City                 |    SAINT PETERS
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    State                |    MO
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    Zip                  |    63376-4486
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    Country              |    US
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    Telephone            |    636-386-4792
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    Fax                  |    314-782-5452
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROOMANA S ARAIN 
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    Credential           |    MD
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    Telephone            |    636-386-4792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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