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General NPI Number Information
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NPI Number | 1841208170
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Entity Type | Organization
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Legal Business Name | BARNES JEWISH WEST COUNTY HOSPITAL
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12634 OLIVE BLVD
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City | CREVE COEUR
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State | MO
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Zip | 63141-6337
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Country | US
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Telephone | 314-996-8000
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Fax | 314-996-3610
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Provider Business Mailing Address
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Address Line | 12634 OLIVE BLVD
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City | CREVE COEUR
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State | MO
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Zip | 63141-6337
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Country | US
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Telephone | 314-996-8000
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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 | MS. PAT MOHRMAN
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Credential |
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Telephone | 314-996-8400
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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 | 368-16
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License Number State | MO
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