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NPI 1568475689

NPI 1568475689 : GATEWAY PAIN CENTER INC : FRONTENAC, MO

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General NPI Number Information
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    NPI Number           |    1568475689
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    Entity Type          |    Organization 
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    Legal Business Name  |    GATEWAY PAIN CENTER INC 
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Dates
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    Enumeration Date     |    08/14/2006
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    Last Update Date     |    03/25/2025
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Provider Practice Location Address
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    Address Line         |    10435 CLAYTON RD SUITE 120
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    City                 |    FRONTENAC
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    State                |    MO
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    Zip                  |    63131-2909
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    Country              |    US
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    Telephone            |    314-985-3002
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    Fax                  |    314-985-3012
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Provider Business Mailing Address
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    Address Line         |    10435 CLAYTON RD SUITE 120
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    City                 |    FRONTENAC
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    State                |    MO
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    Zip                  |    63131-2909
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    Country              |    US
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    Telephone            |    314-985-3002
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    Fax                  |    314-985-3012
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. BARRY A FEINBERG 
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    Credential           |    M.D.
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    Telephone            |    314-985-3002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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