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General NPI Number Information
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NPI Number | 1477984292
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Entity Type | Organization
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Legal Business Name | ROBERT A. BRINKMAN, M.D., LLC.
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Dates
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Enumeration Date | 12/04/2013
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 1040 N MASON RD STE 211
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City | CREVE COEUR
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State | MO
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Zip | 63141
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Country | US
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Telephone | 314-291-1499
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Fax | 314-291-1428
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Provider Business Mailing Address
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Address Line | 1040 N MASON RD STE 211
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City | CREVE COEUR
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State | MO
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Zip | 63141-6366
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Country | US
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Telephone | 314-291-1499
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Fax | 314-291-1428
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Authorized Official
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Title or Position | MD
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Name | ROBERT BRINKMAN
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Credential |
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Telephone | 314-291-1499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | R8109
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R8109
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License Number State | MO
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