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General NPI Number Information
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NPI Number | 1134143159
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Entity Type | Individual
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Provider Name | RICHARD PAUL TRAGASZ L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 4304 S BEARFIELD RD BOYS AND GIRLS TOWN OF MISSOURI
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City | COLUMBIA
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State | MO
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Zip | 65201-9557
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Country | US
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Telephone | 573-874-8686
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Fax | 573-874-8608
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | SAINT JAMES
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State | MO
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Zip | 65559-0189
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Country | US
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Telephone | 573-636-4253
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Fax | 573-636-4253
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2006007087
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License Number State | MO
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