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General NPI Number Information
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NPI Number | 1871112102
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Entity Type | Organization
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Legal Business Name | THRIVE ST. LOUIS, INC
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 4331 LINDELL BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2701
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Country | US
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Telephone | 314-783-3040
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Fax | 314-783-3043
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Provider Business Mailing Address
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Address Line | 4331 LINDELL BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2701
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Country | US
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Telephone |
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Fax | 314-783-3043
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MATTHEW TOTRA
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Credential |
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Telephone | 314-783-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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