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General NPI Number Information
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NPI Number | 1467323881
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Entity Type | Individual
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Provider Name | MRS. DEBORAH LEA HINDS
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 50 CRESTWOOD EXECUTIVE CTR STE 500
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City | SAINT LOUIS
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State | MO
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Zip | 63126-1948
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Country | US
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Telephone | 636-686-0682
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 RED OAK PLANTATION DR
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City | BALLWIN
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State | MO
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Zip | 63021-7346
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Country | US
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Telephone | 314-503-1034
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 885652
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License Number State | MO
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