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General NPI Number Information
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NPI Number | 1538239967
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Entity Type | Individual
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Provider Name | TOD A WEST JR. N.P.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10805 SUNSET OFFICE DR SUITE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1017
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Country | US
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Telephone | 314-238-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 2457 SHETLAND DR
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City | DARDENNE PRAIRIE
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State | MO
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Zip | 63368-7213
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Country | US
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Telephone | 636-294-1088
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 106881
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License Number State | MO
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