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General NPI Number Information
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NPI Number | 1679410120
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Entity Type | Individual
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Provider Name | ELIZABETH A VESPER RN
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2315 DOUGHERTY FERRY RD STE 211
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City | SAINT LOUIS
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State | MO
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Zip | 63122-3383
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Country | US
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Telephone | 314-617-2270
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Fax | 314-768-6610
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Provider Business Mailing Address
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Address Line | 2315 DOUGHERTY FERRY RD STE 211
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City | SAINT LOUIS
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State | MO
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Zip | 63122-3383
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Country | US
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Telephone | 314-617-2270
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Fax | 314-768-6610
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 2007033196
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License Number State | MO
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