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General NPI Number Information
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NPI Number | 1801819487
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Entity Type | Individual
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Provider Name | STUART R ADLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/02/2014
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Provider Practice Location Address
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Address Line | 11155 DUNN RD STE 201E
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6150
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Country | US
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Telephone | 314-355-3175
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Fax | 314-355-5175
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Provider Business Mailing Address
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Address Line | 11155 DUNN RD SUITE 201E
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6150
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Country | US
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Telephone | 314-355-3175
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Fax | 314-355-5175
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R1F22
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License Number State | MO
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