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General NPI Number Information
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NPI Number | 1831836865
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH & ANALYTICS LLC
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 4625 LINDELL BLVD STE 200300
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3725
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Country | US
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Telephone | 816-830-8041
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Fax |
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Provider Business Mailing Address
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Address Line | 4625 LINDELL BLVD STE 200300
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3725
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Country | US
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Telephone | 816-830-8041
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MICHAEL HYDE
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Credential |
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Telephone | 816-830-8041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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