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General NPI Number Information
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NPI Number | 1689995847
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Entity Type | Individual
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Provider Name | EMILY HAZEL MUKHERJI MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 1 BARNES JEWISH HOSPITAL PLZ STE 15340
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1003
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Country | US
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Telephone | 314-286-1700
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Fax | 314-362-7017
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Provider Business Mailing Address
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Address Line | 4511 FOREST PARK AVE STE 4300
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2138
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Country | US
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Telephone | 314-286-1700
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Fax | 314-408-2756
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2017029100
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License Number State | MO
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