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General NPI Number Information
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NPI Number | 1437211794
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Entity Type | Individual
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Provider Name | BARBARA ANNE O'BRIEN DO
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 225 CLARKSON RD
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City | ELLISVILLE
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State | MO
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Zip | 63011-2278
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Country | US
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Telephone | 636-685-7715
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Fax | 314-590-5916
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Provider Business Mailing Address
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Address Line | 225 CLARKSON RD
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City | ELLISVILLE
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State | MO
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Zip | 63011-2278
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Country | US
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Telephone | 636-230-5050
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Fax | 636-230-5057
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 2003000621
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License Number State | MO
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