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General NPI Number Information
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NPI Number | 1700568300
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Entity Type | Organization
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Legal Business Name | HOPE SPRINGS PSYCHIATRY
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 15455 CONWAY RD STE 117
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City | CHESTERFIELD
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State | MO
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Zip | 63017-2022
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Country | US
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Telephone | 314-388-9855
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Fax |
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Provider Business Mailing Address
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Address Line | 27 RIO VISTA DR
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City | SAINT LOUIS
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State | MO
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Zip | 63124-1744
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Country | US
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Telephone | 314-610-4637
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | KATHERINE BUCHOWSKI
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Credential | MD
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Telephone | 314-388-9855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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