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General NPI Number Information
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NPI Number | 1619505344
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Entity Type | Organization
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Legal Business Name | ST. LUKES UROLOGY, LLC
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 226 S WOODS MILL RD STE 56W
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3664
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Country | US
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Telephone | 636-685-7830
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Fax | 314-590-5971
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Provider Business Mailing Address
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Address Line | 121 SAINT LUKES CENTER DR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3518
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Country | US
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Telephone | 636-685-7804
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Fax | 314-576-2344
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DARREN R. HASKELL
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Credential | MD.
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Telephone | 314-205-6444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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