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General NPI Number Information
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NPI Number | 1518539170
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Entity Type | Individual
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Provider Name | ALEKSANDER CHARLES FERBET
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Gender | Male
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 12639 OLD TESSON RD. STE. 115
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City | ST. LOUIS
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State | MO
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Zip | 63128-2786
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Country | US
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Telephone | 314-849-0311
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Fax | 314-849-4423
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Provider Business Mailing Address
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Address Line | 12639 OLD TESSON RD. STE. 115
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City | ST. LOUIS
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State | MO
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Zip | 63128-2786
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Country | US
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Telephone | 314-849-0311
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Fax | 314-849-4423
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1884725
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License Number State | MO
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