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General NPI Number Information
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NPI Number | 1699270207
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Entity Type | Individual
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Provider Name | MITCHELL ROBERT PADKINS
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 3023 N BALLAS RD STE 200D
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2328
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Country | US
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Telephone | 314-996-7272
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Fax | 314-996-6785
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Provider Business Mailing Address
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Address Line | PO BOX 959203
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City | SAINT LOUIS
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State | MO
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Zip | 63195-9203
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Country | US
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Telephone | 314-996-7272
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Fax | 314-996-6785
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 65901
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29192
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2024049655
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 65901
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License Number State | MN
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