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General NPI Number Information
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NPI Number | 1447271986
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Entity Type | Individual
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Provider Name | ROD LEE ELLIOTT-MULLENS DO
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 969 N MASON RD STE 250
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6370
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Country | US
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Telephone | 314-273-0195
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Fax | 314-273-0190
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Provider Business Mailing Address
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Address Line | 660 MASON RIDGE CENTER DR STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8512
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Country | US
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Telephone | 314-996-8072
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Fax | 314-996-8072
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | K-9776
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 2024006433
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | K9776
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | DO150936
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | DO150936
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License Number State | OR
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