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General NPI Number Information
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NPI Number | 1598757031
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Entity Type | Individual
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Provider Name | DAVID JEFFREY EISENSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 4500 MEMORIAL DR DEPT PATHOLOGY
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City | BELLEVILLE
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State | IL
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Zip | 62226-5360
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Country | US
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Telephone | 618-233-7750
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Fax | 314-747-1710
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Provider Business Mailing Address
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Address Line | 660 S EUCLID AVE CB 8118
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1010
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Country | US
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Telephone | 314-362-5641
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Fax | 314-362-0369
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036136527
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 036136527
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License Number State | IL
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