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General NPI Number Information
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NPI Number | 1609138213
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Entity Type | Individual
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Provider Name | RONG HOU M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2012
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 1402 S GRAND BLVD FDT 14TH FLOOR
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1004
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Country | US
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Telephone | 314-577-8762
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 S GRAND BLVD FDT 14
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1004
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Country | US
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Telephone | 314-577-8762
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 1609138213
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License Number State | MO
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