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General NPI Number Information
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NPI Number | 1710909486
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Entity Type | Organization
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Legal Business Name | ST. LOUIS CHILDRENS HOSPITAL
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PL
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1002
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Country | US
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Telephone | 314-454-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CHILDRENS PL ADMINISTRATION, SUITE 3S-36
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1002
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Country | US
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Telephone | 314-454-6044
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MICHELE M MCKEE
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Credential |
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Telephone | 314-454-6044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 324-22
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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