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General NPI Number Information
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NPI Number | 1831757103
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Entity Type | Individual
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Provider Name | TRACIE LEIGH PLACHER
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Gender | Female
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4600 MEMORIAL DR STE 360
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City | BELLEVILLE
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State | IL
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Zip | 62226-5366
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Country | US
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Telephone | 618-222-7280
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Fax | 618-222-7281
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Provider Business Mailing Address
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Address Line | PO BOX 955534
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City | SAINT LOUIS
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State | MO
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Zip | 63195-5534
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Country | US
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Telephone | 618-222-7280
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Fax | 618-222-7281
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2024000831
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 041.342889
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209019618
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License Number State | IL
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