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NPI 1689255085

NPI 1689255085 : LAHAJI THOMAS : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1689255085
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    Entity Type          |    Individual 
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    Provider Name        |    LAHAJI THOMAS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/16/2021
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    Last Update Date     |    06/07/2025
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Provider Practice Location Address
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    Address Line         |    701 MARKET ST STE 110 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63101-1824
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    Country              |    US
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    Telephone            |    773-600-6667
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8383 MIDLAND BLVD 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63114-5926
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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    |    
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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        |    1041S0200X
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    Taxonomy Name        |    School 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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    149.028226
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    License Number State |    IL
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