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General NPI Number Information
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NPI Number | 1255974697
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Entity Type | Organization
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Legal Business Name | GOPAL K NAIR MD LLC
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 35 SUGAR MAPLE LN
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City | SAINT CHARLES
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State | MO
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Zip | 63303-5740
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Country | US
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Telephone | 636-946-8887
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 ARLINGTON OAKS TER
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5936
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GOPAL K NAIR
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Credential | MD
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Telephone | 314-591-7646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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