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General NPI Number Information
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NPI Number | 1932387909
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Entity Type | Individual
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Provider Name | JEAN Z DRAZEN P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 3201 PARKWOOD LN
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-1334
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Country | US
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Telephone | 314-344-8978
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Fax |
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Provider Business Mailing Address
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Address Line | 1658 LEGEND LANE CT
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City | SAINT LOUIS
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State | MO
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Zip | 63146-4872
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Country | US
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Telephone | 314-997-6832
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 00777
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License Number State | MO
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