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General NPI Number Information
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NPI Number | 1811289283
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Entity Type | Organization
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Legal Business Name | SAINT FRANCIS MEDICAL CENTER
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 211 SAINT FRANCIS DR
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703
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Country | US
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Telephone | 573-331-5228
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Fax | 573-331-5016
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Provider Business Mailing Address
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Address Line | 211 SAINT FRANCIS DR
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-5049
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Country | US
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Telephone | 573-331-5228
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Fax | 573-331-5016
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Authorized Official
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Title or Position | CREDENTIALING
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Name | RENEE C WILKERSON
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Credential |
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Telephone | 573-331-5583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2006008758
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2002005133
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | R5H64
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 102167
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2006015230
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | R8D70
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License Number State | MO
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