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General NPI Number Information
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NPI Number | 1548258684
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Entity Type | Individual
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Provider Name | GIHAN A KADER MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 200 MEDICAL PLZ SUITE 103
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-1380
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Country | US
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Telephone | 636-625-0206
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Fax | 636-625-4777
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Provider Business Mailing Address
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Address Line | 7538 BUCKINGHAM DR
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City | SAINT LOUIS
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State | MO
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Zip | 63105-2802
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Country | US
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Telephone | 314-725-0192
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Fax | 314-725-0315
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 01078500
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 109431
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 01078500A
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License Number State | IN
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