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General NPI Number Information
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NPI Number | 1245542273
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Entity Type | Organization
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Legal Business Name | A. C. TOBEY, M.D. P.C.
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Dates
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Enumeration Date | 07/07/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 621 S NEW BALLAS RD STE 399
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8214
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Country | US
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Telephone | 314-251-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S NEW BALLAS RD STE 399
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8214
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Country | US
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Telephone | 314-251-6644
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SUZANNE ACHTYL
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Credential |
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Telephone | 314-251-6644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35559
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License Number State | MO
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