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General NPI Number Information
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NPI Number | 1326087792
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Entity Type | Organization
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Legal Business Name | GENERAL SURGERY OF ST LOUIS PC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12700 SOUTHFORK RD SUITE 235
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City | SAINT LOUIS
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State | MO
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Zip | 63128-3201
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Country | US
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Telephone | 314-842-2226
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Fax | 314-842-7977
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Provider Business Mailing Address
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Address Line | 12700 SOUTHFORK RD SUITE 235
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City | SAINT LOUIS
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State | MO
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Zip | 63128-3201
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Country | US
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Telephone | 314-842-2226
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Fax | 314-842-7977
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT F BECKMAN
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Credential | MD
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Telephone | 314-842-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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