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General NPI Number Information
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NPI Number | 1821006354
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Entity Type | Organization
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Legal Business Name | BARNES JEWISH ST. PETERS HOSPITAL
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 10 HOSPITAL DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-1659
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Country | US
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Telephone | 636-916-9000
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Fax | 314-996-3610
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Provider Business Mailing Address
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Address Line | 10 HOSPITAL DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-1659
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Country | US
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Telephone | 636-916-9000
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Fax | 314-996-3610
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID ROSS
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Credential |
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Telephone | 636-916-9402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 357-18
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License Number State | MO
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