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General NPI Number Information
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NPI Number | 1669497202
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Entity Type | Individual
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Provider Name | ROBERT EDWARD FAST MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 901 HEARTLAND RD SUITE 2800
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-6200
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Country | US
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Telephone | 816-271-1213
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Fax | 816-271-6423
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Provider Business Mailing Address
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Address Line | 17793 COUNTRY CLUB RD
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City | ATCHISON
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State | KS
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Zip | 66002
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Country | US
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Telephone | 816-262-5917
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Fax | 816-271-6423
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 04-16292
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License Number State | KS
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