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NPI 1538359526

NPI 1538359526 : ROBERT J. HELLMANNN, JR. D.M.D. INC. : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1538359526
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT J. HELLMANNN, JR. D.M.D. INC. 
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Dates
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    Enumeration Date     |    07/26/2007
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    Last Update Date     |    07/26/2007
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Provider Practice Location Address
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    Address Line         |    16 HAMPTON VILLAGE PLZ STE. 212
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63109-2128
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    Country              |    US
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    Telephone            |    314-481-7656
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    Fax                  |    314-481-7923
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Provider Business Mailing Address
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    Address Line         |    16 HAMPTON VILLAGE PLZ STE. 212
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63109-2128
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    Country              |    US
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    Telephone            |    314-481-7656
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    Fax                  |    314-481-7923
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. ROBERT JOSEPH HELLMANN JR.
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    Credential           |    D.M.D
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    Telephone            |    314-481-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    012817
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    License Number State |    MO
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