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General NPI Number Information
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NPI Number | 1689933863
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Entity Type | Individual
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Provider Name | MARGARET T PETRI JOKERST LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 08/18/2017
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Provider Practice Location Address
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Address Line | 9530 WATSON INDUSTRIAL PARK SUITE A
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City | SAINT LOUIS
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State | MO
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Zip | 63126-1542
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Country | US
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Telephone | 314-963-8368
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Fax | 314-963-8935
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Provider Business Mailing Address
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Address Line | 10805 SUNSET OFFICE DRIVE, SUITE 300
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City | ST. LOUIS
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State | MO
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Zip | 63127-1027
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Country | US
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Telephone | 314-238-1213
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Fax | 314-238-1250
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.001166
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 001923
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License Number State | MO
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