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General NPI Number Information
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NPI Number | 1366593766
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Entity Type | Individual
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Provider Name | CYNTHIA LYNN BUETER P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 4625 LINDELL BLVD SUITE 510
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3729
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Country | US
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Telephone | 314-367-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 6012 CAROL ST
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City | HOUSE SPRINGS
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State | MO
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Zip | 63051-1432
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Country | US
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Telephone | 314-471-9898
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2004018039
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License Number State | MO
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