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General NPI Number Information
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NPI Number | 1457141665
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Entity Type | Individual
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Provider Name | MRS. ZEINA NASSOUR
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 4500 FOREST PARK AVE FL 1
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2114
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Country | US
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Telephone | 314-657-9013
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Fax | 314-747-4579
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Provider Business Mailing Address
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Address Line | 4500 FOREST PARK AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2114
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Country | US
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Telephone | 314-657-9013
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2019008338
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License Number State | MO
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