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General NPI Number Information
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NPI Number | 1629303565
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Entity Type | Organization
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Legal Business Name | LINDELL PSYCHIATRIC ASSOCIATES, INC
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 10/09/2009
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Provider Practice Location Address
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Address Line | 265 UNION BLVD SUITE 1120
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1200
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Country | US
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Telephone | 314-367-2660
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Fax | 314-367-2660
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Provider Business Mailing Address
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Address Line | 265 UNION BLVD SUITE 1120
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1200
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Country | US
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Telephone | 314-367-2660
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Fax | 314-367-2660
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JULE P. MILLER
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Credential | M.D.
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Telephone | 314-367-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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