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General NPI Number Information
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NPI Number | 1962750265
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Entity Type | Individual
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Provider Name | RASHMI JAIN MD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2012
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 149 BELLE MAISON LN
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8181
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Country | US
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Telephone | 314-882-8483
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Fax |
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Provider Business Mailing Address
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Address Line | 149 BELLE MAISON LN
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8181
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Country | US
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Telephone | 314-882-8483
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036172312
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 2016014660
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 036172312
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2016014660
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License Number State | MO
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