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General NPI Number Information
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NPI Number | 1811250202
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Entity Type | Organization
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Legal Business Name | THE FOUNDATION FOR APPLIED PSYCHIATRIC ANTHROPOLOGY, INC.
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 7733 FORSYTH BLVD STE 1100
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City | SAINT LOUIS
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State | MO
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Zip | 63105-1817
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Country | US
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Telephone | 314-286-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 7733 FORSYTH BLVD STE 1100
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City | SAINT LOUIS
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State | MO
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Zip | 63105-1817
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Country | US
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Telephone | 314-286-6116
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REBECCA LESTER
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Credential | PHD., LCSW
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Telephone | 314-413-3877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2007031682
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License Number State | MO
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