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General NPI Number Information
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NPI Number | 1710210281
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Entity Type | Organization
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Legal Business Name | SAINT LOUIS UNIVERSITY
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 1402 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1004
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Country | US
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Telephone | 314-977-9853
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1004
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Country | US
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Telephone | 314-977-9853
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | LOUAY OMRAN
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Credential |
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Telephone | 314-977-9853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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