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General NPI Number Information
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NPI Number | 1679463574
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Entity Type | Organization
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Legal Business Name | MCPHERSON MEDICAL & DIAGNOSTIC, LLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 12174 NATURAL BRIDGE RD
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City | BRIDGETON
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State | MO
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Zip | 63044-2017
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Country | US
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Telephone | 573-559-3591
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Fax | 573-658-1876
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Provider Business Mailing Address
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Address Line | 216 W MAIN ST
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City | STEELE
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State | MO
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Zip | 63877-1436
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Country | US
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Telephone | 573-559-3591
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Fax | 573-658-1876
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Authorized Official
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Title or Position | OWNER
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Name | ABDULLAH ARSHAD
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Credential |
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Telephone | 573-724-0083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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