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General NPI Number Information
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NPI Number | 1538770284
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Entity Type | Organization
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Legal Business Name | MEIGS PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 529 NEWPORT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63119-2517
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Country | US
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Telephone | 314-591-6168
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Fax |
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Provider Business Mailing Address
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Address Line | 529 NEWPORT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63119-2517
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Country | US
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Telephone | 314-591-6168
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CHRISTINA LAWTON FALES
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Credential | PHD
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Telephone | 314-591-6168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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