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General NPI Number Information
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NPI Number | 1083798466
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Entity Type | Individual
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Provider Name | BRYAN NORBERT SEWING D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 225 S MERAMEC AVE SUITE 721
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City | CLAYTON
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State | MO
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Zip | 63105-3511
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Country | US
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Telephone | 314-726-1080
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Fax | 314-726-1090
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Provider Business Mailing Address
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Address Line | 9339 PINE AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63144-1007
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Country | US
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Telephone | 314-918-0891
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Fax | 314-726-1090
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 115844
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License Number State | MO
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