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General NPI Number Information
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NPI Number | 1740184852
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Entity Type | Individual
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Provider Name | HUY DUC MAI
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Gender | Male
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 10114 KENNERLY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2183
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Country | US
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Telephone | 314-948-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 4068 MITCHFORD DR
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City | SAINT LOUIS
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State | MO
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Zip | 63125-4304
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Country | US
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Telephone | 314-484-5394
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2025053265
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License Number State | MO
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