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General NPI Number Information
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NPI Number | 1477287324
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Entity Type | Individual
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Provider Name | PRASHANT JADON MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 3009 N BALLAS RD STE 226A
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2337
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Country | US
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Telephone | 314-996-4900
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Fax | 314-996-4901
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Provider Business Mailing Address
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Address Line | PO BOX 959354
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City | SAINT LOUIS
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State | MO
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Zip | 63195-9354
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Country | US
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Telephone | 314-996-4900
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Fax | 314-996-4901
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18523
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025028752
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License Number State | MO
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