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General NPI Number Information
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NPI Number | 1699360677
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Entity Type | Individual
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Provider Name | JULIA O'CONNER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 6825 NATURAL BRIDGE RD
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City | SAINT LOUIS
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State | MO
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Zip | 63121-5314
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Country | US
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Telephone | 314-383-4765
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Fax |
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Provider Business Mailing Address
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Address Line | 439 S KIRKWOOD RD STE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63122-6100
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2021006236
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License Number State | MO
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