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General NPI Number Information
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NPI Number | 1760361158
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Entity Type | Individual
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Provider Name | MS. PATRICIA ANN LIGON
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Gender |
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 801 N 11TH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63101-1015
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Country | US
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Telephone | 314-231-3720
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Fax |
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Provider Business Mailing Address
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Address Line | 2830 MONITEAU DR
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City | SAINT LOUIS
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State | MO
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Zip | 63121-4517
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Country | US
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Telephone | 314-229-0384
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | M$$$$$$$$$
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 0331951
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License Number State | MO
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