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General NPI Number Information
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NPI Number | 1427099845
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Entity Type | Organization
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Legal Business Name | MIDWEST THERAPEUTIC ENDOSCOPY CONSULTANTS LLC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 12855 N 40 DR SUITE 175
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8635
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Country | US
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Telephone | 314-628-9000
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Fax | 314-628-9696
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Provider Business Mailing Address
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Address Line | 12855 N 40 DR SUITE 175
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8635
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Country | US
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Telephone | 314-628-9000
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Fax | 314-628-9696
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Authorized Official
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Title or Position | OWNER
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Name | GIUSEPPE ALIPERTI
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Credential | MD
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Telephone | 314-628-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | LC0056172
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License Number State | MO
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