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General NPI Number Information
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NPI Number | 1407216336
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Entity Type | Organization
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Legal Business Name | ST ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES, L.C.
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 10010 KENNERLY RD 3 SOUTHBRIDGE
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2106
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Country | US
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Telephone | 314-525-1328
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Fax | 314-525-1378
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Provider Business Mailing Address
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Address Line | 9735 LANDMARK PARKWAY DR STE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1646
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Country | US
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Telephone | 314-525-1328
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Fax | 314-525-1378
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR - FINANCE
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Name | KERRY DUNGER
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Credential |
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Telephone | 314-364-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State | MO
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