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General NPI Number Information
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NPI Number | 1265348189
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Entity Type | Organization
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Legal Business Name | ORTHO MISSOURI SURGERY CENTER - ST LOUIS LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 9701 LANDMARK PARKWAY DR STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1665
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Country | US
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Telephone | 314-729-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 9701 LANDMARK PARKWAY DR STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1665
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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 | OFFICER/AUTHORIZED OFFICIAL
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Name | WILLIAM MONTGOMERY
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Credential |
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Telephone | 615-545-9132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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