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General NPI Number Information
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NPI Number | 1477684918
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Entity Type | Organization
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Legal Business Name | NORMAN C. NEEB, DO, INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 12166 OLD BIG BEND RD SUITE 108
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City | KIRKWOOD
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State | MO
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Zip | 63122-6844
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Country | US
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Telephone | 314-984-0033
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Fax | 314-984-0020
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Provider Business Mailing Address
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Address Line | 12166 OLD BIG BEND RD SUITE 108
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City | KIRKWOOD
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State | MO
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Zip | 63122-6844
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Country | US
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Telephone | 314-984-0033
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Fax | 314-984-0020
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORMAN C NEEB
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Credential | DO
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Telephone | 314-984-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | R1J92
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License Number State | MO
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