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General NPI Number Information
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NPI Number | 1639014541
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Entity Type | Organization
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Legal Business Name | VAX CONCIERGE MO PC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 8150 AMHERST AVE
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City | UNIVERSITY CITY
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State | MO
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Zip | 63130-3605
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Country | US
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Telephone | 773-260-0964
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Fax |
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Provider Business Mailing Address
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Address Line | 8150 AMHERST AVE
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City | UNIVERSITY CITY
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State | MO
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Zip | 63130-3605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUDAH KANOWITZ
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Credential |
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Telephone | 773-260-0964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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