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General NPI Number Information
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NPI Number | 1487678165
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Entity Type | Organization
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Legal Business Name | ST. LOUIS HEART & VASCULAR, P.C.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 11155 DUNN RD STE 304E
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6150
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Country | US
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Telephone | 314-741-0911
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Fax | 314-741-0501
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Provider Business Mailing Address
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Address Line | 11155 DUNN RD STE 304E
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6150
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Country | US
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Telephone | 314-741-0911
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Fax | 314-741-0501
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Authorized Official
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Title or Position | DIRECTOR OF PAYER CONTRACTING
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Name | MEGAN THOMAS
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Credential |
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Telephone | 224-285-6266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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