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General NPI Number Information
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NPI Number | 1639320773
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Entity Type | Organization
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Legal Business Name | T J MCCAFFREY MD PC
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 621 S NEW BALLAS RD SUITE 6005B
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8232
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Country | US
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Telephone | 314-251-5958
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Fax | 314-251-5954
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Provider Business Mailing Address
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Address Line | 755 DUNN RD SUITE 150
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City | HAZELWOOD
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State | MO
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Zip | 63042-1751
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Country | US
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Telephone | 314-251-5958
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Fax | 314-251-5954
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Authorized Official
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Title or Position | PHYSICIAN
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Name | THOMAS JOSEPH MCCAFFREY
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Credential | MD
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Telephone | 314-251-5958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | R5B96
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License Number State | MO
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