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General NPI Number Information
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NPI Number | 1083656748
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Entity Type | Individual
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Provider Name | BARBARA G. CHILTON DO
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 1911 BUENA VISTA AVE
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City | CARTHAGE
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State | MO
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Zip | 64836-3178
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Country | US
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Telephone | 417-237-0983
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Fax | 417-237-0997
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Provider Business Mailing Address
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Address Line | PO BOX 504944
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City | SAINT LOUIS
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State | MO
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Zip | 63150-4944
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Country | US
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Telephone | 417-829-4620
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Fax | 417-829-4316
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 100685
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License Number State | MO
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