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General NPI Number Information
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NPI Number | 1689043812
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Entity Type | Organization
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Legal Business Name | ST LOUIS EFFORT FOR AIDS INC.
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 1027 S VANDEVENTER AVE SUITE 700
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City | SAINT LOUIS
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State | MO
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Zip | 63110-3800
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Country | US
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Telephone | 314-333-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 1027 S VANDEVENTER AVE SUITE 700
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City | SAINT LOUIS
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State | MO
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Zip | 63110-3800
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Country | US
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Telephone | 314-333-6666
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CHERYL OLIVER
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Credential |
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Telephone | 314-754-0128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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