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General NPI Number Information
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NPI Number | 1568556439
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Entity Type | Organization
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Legal Business Name | LAWRENCE J BILLY MD, PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 11125 DUNN RD STE 401
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6132
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Country | US
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Telephone | 314-432-2580
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Fax | 314-432-0223
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Provider Business Mailing Address
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Address Line | 11125 DUNN RD STE 401
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6132
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Country | US
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Telephone | 314-432-2580
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Fax | 314-432-0223
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Authorized Official
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Title or Position | ACCT MANAGER
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Name | LYNN HENDERSON
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Credential |
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Telephone | 314-432-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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