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General NPI Number Information
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NPI Number | 1275720153
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Entity Type | Organization
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Legal Business Name | RICHARD J GIMPELSON, MD, PC
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 222 S WOODS MILL RD SUITE 400
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3625
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Country | US
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Telephone | 314-878-1866
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Fax |
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Provider Business Mailing Address
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Address Line | 222 S WOODS MILL RD SUITE 400
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3625
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Country | US
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Telephone | 314-878-1866
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | TRACY GREEN
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Credential |
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Telephone | 314-878-0163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 34996
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License Number State | MO
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