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General NPI Number Information
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NPI Number | 1841547072
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Entity Type | Organization
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Legal Business Name | BARNES-JEWISH HOSPITAL
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 18 S KINGSHIGHWAY BLVD APT 9U
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1356
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Country | US
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Telephone | 314-362-2809
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Fax | 314-362-2806
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Provider Business Mailing Address
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Address Line | 18 S KINGSHIGHWAY BLVD APT 9U
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1356
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Country | US
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Telephone | 314-362-2809
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Fax | 314-362-2806
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. HENRY ROYAL
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Credential | MD
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Telephone | 314-362-2812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number | 5436783944
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License Number State | MO
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