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General NPI Number Information
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NPI Number | 1861672891
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Entity Type | Organization
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Legal Business Name | STUART R. ADLER, MD PC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 11155 DUNN RD SUITE 201E
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6150
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Country | US
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Telephone | 314-355-3175
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Fax | 314-355-5175
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Provider Business Mailing Address
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Address Line | 11155 DUNN RD SUITE 201E
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6150
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Country | US
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Telephone | 314-355-3175
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Fax | 314-355-5175
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STUART R ADLER
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Credential | MD PHD
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Telephone | 314-355-3175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | R1F22
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License Number State | MO
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