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General NPI Number Information
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NPI Number | 1669041760
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Entity Type | Organization
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Legal Business Name | OAK STREET HEALTH PHYSICIANS GROUP OF MISSOURI, LLC
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 3451 UNION BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63115-1142
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Country | US
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Telephone | 312-733-9730
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Fax | 314-408-7063
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Provider Business Mailing Address
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Address Line | PO BOX 740019
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City | ATLANTA
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State | GA
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Zip | 30374-0019
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Country | US
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Telephone | 773-352-1515
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Fax | 312-929-0373
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Authorized Official
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Title or Position | CMO
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Name | DR. TERRANCE MORTON
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Credential | MD
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Telephone | 704-607-4835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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