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General NPI Number Information
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NPI Number | 1922812254
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Entity Type | Organization
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Legal Business Name | WASHINGTON UNIVERSITY COMMUNITY SPECIALISTS, LLC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 11133 DUNN RD
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6163
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Country | US
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Telephone | 314-632-9123
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Fax | 314-747-9160
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 314-632-9123
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR, WU MANAGED CARE
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Name | MS. CATHY EGHIGIAN
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Credential |
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Telephone | 618-791-0975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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