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General NPI Number Information
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NPI Number | 1720060718
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Entity Type | Individual
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Provider Name | RANDALL STERKEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 13001 N OUTER 40 RD STE 320
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City | TOWN AND COUNTRY
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State | MO
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Zip | 63017-5941
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Country | US
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Telephone | 314-567-7337
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Fax | 314-851-4476
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Provider Business Mailing Address
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Address Line | PO BOX 23340
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City | SAINT LOUIS
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State | MO
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Zip | 63156-3340
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Country | US
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Telephone | 314-567-7337
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Fax | 314-851-4476
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 103720
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License Number State | MO
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