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General NPI Number Information
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NPI Number | 1861485708
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Entity Type | Individual
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Provider Name | STEVEN P ZENKER MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1 PROFESSIONAL DR STE 250
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City | ALTON
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State | IL
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Zip | 62002-5068
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Country | US
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Telephone | 618-463-8636
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Fax | 618-463-8640
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Provider Business Mailing Address
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Address Line | PO BOX 959203
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City | SAINT LOUIS
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State | MO
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Zip | 63195-9203
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Country | US
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Telephone | 618-463-8500
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Fax | 618-433-8640
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-075124
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License Number State | IL
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