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General NPI Number Information
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NPI Number | 1538270624
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Entity Type | Individual
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Provider Name | JAMES RAYMOND PROBST MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 10345 WATSON RD
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City | ST LOUIS
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State | MO
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Zip | 63127
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Country | US
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Telephone | 314-965-6033
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Fax | 314-965-6067
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Provider Business Mailing Address
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Address Line | 10345 WATSON RD
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City | ST LOUIS
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State | MO
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Zip | 63127
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Country | US
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Telephone | 314-965-6033
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Fax | 314-965-6067
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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 | R3J87
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | R3J87
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | R3J87
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R3J87
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License Number State | MO
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