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General NPI Number Information
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NPI Number | 1255835054
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Entity Type | Organization
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Legal Business Name | MEDBILLING LLC
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 10448 OLD OLIVE STREET RD STE 200
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City | CREVE COEUR
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State | MO
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Zip | 63141-5927
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Country | US
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Telephone | 314-597-8887
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Fax | 480-351-7061
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Provider Business Mailing Address
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Address Line | PO BOX 795011
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City | SAINT LOUIS
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State | MO
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Zip | 63179-0795
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Country | US
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Telephone | 314-597-8887
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Fax | 480-351-7061
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM CHRIS KOSTMAN
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Credential | MD
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Telephone | 314-597-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 113686
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License Number State | MO
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