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General NPI Number Information
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NPI Number | 1629464847
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Entity Type | Organization
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Legal Business Name | ST LOUIS CHILDRENS HOSPITAL
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 13001 N OUTER 40 RD
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City | TOWN AND COUNTRY
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State | MO
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Zip | 63017-5941
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Country | US
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Telephone | 314-454-3232
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Fax | 314-454-3233
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Provider Business Mailing Address
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Address Line | 13001 N OUTER 40 RD
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City | TOWN AND COUNTRY
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State | MO
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Zip | 63017-5941
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Country | US
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Telephone | 314-454-3232
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Fax | 314-454-3233
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. MICHELE MCKEE
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Credential |
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Telephone | 314-454-6044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | MO
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