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General NPI Number Information
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NPI Number | 1992580831
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Entity Type | Individual
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Provider Name | STEVE FRIGO R.PH
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Gender | Male
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 1226 LACLEDE STATION RD
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1430
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Country | US
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Telephone | 314-745-4799
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 LACLEDE STATION RD
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1430
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Country | US
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Telephone | 314-745-4799
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24279
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2005026166
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051286782
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License Number State | IL
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