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General NPI Number Information
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NPI Number | 1871862342
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Entity Type | Individual
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Provider Name | MARIA CRISTINA HONORATO-CIA MD
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Gender | Female
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 216 S KINGSHIGHWAY BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1026
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Country | US
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Telephone | 314-454-7954
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Fax | 314-545-7963
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE C B 8054
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-454-7954
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Fax | 314-545-7963
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2011027677
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License Number State | MO
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