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General NPI Number Information
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NPI Number | 1730832551
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Entity Type | Individual
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Provider Name | JESSE SAAB PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 3801 S NATIONAL AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5210
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Country | US
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Telephone | 417-269-6000
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Fax | 417-269-6573
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Provider Business Mailing Address
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Address Line | PO BOX 505673
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City | SAINT LOUIS
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State | MO
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Zip | 63150-5673
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Country | US
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Telephone | 417-730-6430
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Fax | 417-269-7567
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2024013599
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License Number State | MO
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