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General NPI Number Information
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NPI Number | 1568999001
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Entity Type | Individual
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Provider Name | ROBERT TIMOTHY CRISTEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 4651 HIGHWAY K
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City | O FALLON
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State | MO
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Zip | 63368-8690
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Country | US
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Telephone | 314-523-5300
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Fax | 314-434-3191
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Provider Business Mailing Address
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Address Line | PO BOX 14369
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City | SAINT LOUIS
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State | MO
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Zip | 63178-4369
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Country | US
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Telephone | 314-729-0077
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Fax | 314-729-0101
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 2022013289
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License Number State | MO
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