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General NPI Number Information
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NPI Number | 1770762478
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Entity Type | Individual
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Provider Name | WILLIAM SEDGWICK M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 121 SAINT LUKES CENTER DR STE 302
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3509
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Country | US
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Telephone | 314-523-2595
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Fax | 314-590-5947
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Provider Business Mailing Address
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Address Line | 121 SAINT LUKES CENTER DR STE 302
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3509
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Country | US
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Telephone | 314-523-2595
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Fax | 314-590-5947
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | R7073
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License Number State | MO
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