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General NPI Number Information
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NPI Number | 1699917963
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Entity Type | Organization
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Legal Business Name | KNIGHT & GAYLES HEALTH CARE
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 2025 ZUMBEHL RD # 306
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City | SAINT CHARLES
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State | MO
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Zip | 63303-2723
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Country | US
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Telephone | 314-492-4020
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Fax | 314-492-4020
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Provider Business Mailing Address
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Address Line | 2025 ZUMBEHL RD # 306
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City | SAINT CHARLES
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State | MO
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Zip | 63303-2723
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Country | US
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Telephone | 314-492-4020
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Fax | 188-831-0467
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Authorized Official
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Title or Position | PRESIDENT
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Name | DARRION L PHELPS
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Credential |
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Telephone | 314-503-8097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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