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General NPI Number Information
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NPI Number | 1609977768
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Entity Type | Individual
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Provider Name | FREDRIC GARY REGENSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 4320 WORNALL RD SUITE 240
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City | KANSAS CITY
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State | MO
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Zip | 64111-5941
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Country | US
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Telephone | 816-932-7900
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Fax | 816-932-7920
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Provider Business Mailing Address
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Address Line | 1430 TULANE AVE # 8535
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2632
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Country | US
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Telephone | 816-932-7940
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Fax | 816-932-7957
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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 | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | 07834R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | R9479
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License Number State | MO
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