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General NPI Number Information
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NPI Number | 1407998578
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY OB-GYN PC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 1400 US HIGHWAY 61 SUITE 340
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City | FESTUS
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State | MO
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Zip | 63028-4100
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Country | US
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Telephone | 636-937-1545
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Fax | 636-937-8995
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Provider Business Mailing Address
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Address Line | PO BOX 320 1400 HWY 61, STE. 340
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City | CRYSTAL CITY
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State | MO
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Zip | 63019-0320
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Country | US
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Telephone | 636-937-1545
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Fax | 636-937-8995
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM F SNIDLE
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Credential | M.D.
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Telephone | 636-937-1545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | POO291664
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License Number State | MO
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