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General NPI Number Information
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NPI Number | 1871625582
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Entity Type | Organization
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Legal Business Name | EASTER SEALS MIDWEST
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 11933 WESTLINE INDUSTRIAL DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-3203
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Country | US
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Telephone | 314-394-7100
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Fax | 314-394-4007
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Provider Business Mailing Address
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Address Line | 11933 WESTLINE INDUSTRIAL DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-3203
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Country | US
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Telephone | 314-394-7100
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Fax | 314-394-4007
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JEFF ARLEDGE
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Credential |
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Telephone | 314-394-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2205030351
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 2010005293
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2001015378
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 118073
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1999140934
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 001967
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License Number State | MO
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Taxonomy #10
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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