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General NPI Number Information
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NPI Number | 1477556405
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Entity Type | Individual
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Provider Name | CHARLES M LINSENMEYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 1ST CAPITOL DR STE 100
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2881
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Country | US
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Telephone | 636-946-7050
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Fax | 636-946-3368
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Provider Business Mailing Address
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Address Line | 9323 PHOENIX VILLAGE PKWY
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City | O FALLON
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State | MO
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Zip | 63366-4281
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Country | US
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Telephone | 636-561-5030
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Fax | 636-561-5033
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | R2608
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License Number State | MO
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