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General NPI Number Information
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NPI Number | 1477909166
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Entity Type | Individual
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Provider Name | JULIA SLAVIK
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Gender | Female
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 7068 S OUTER 364
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City | O FALLON
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State | MO
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Zip | 63368-7757
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Country | US
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Telephone | 636-240-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 4542 FERRER DR
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3741
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Country | US
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Telephone | 314-703-3918
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 298295
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 2016003746
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 2016003746
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License Number State | MO
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