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General NPI Number Information
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NPI Number | 1780759290
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Entity Type | Organization
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Legal Business Name | WEST COUNTY FAMILY CARE PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 1574 WOODLAKE DR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5712
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Country | US
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Telephone | 314-542-2077
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Fax | 314-434-1406
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Provider Business Mailing Address
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Address Line | 1574 WOODLAKE DR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5712
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Country | US
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Telephone | 314-542-2077
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Fax | 314-434-1406
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN PATRICK STEIN
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Credential | M.D.
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Telephone | 314-542-2077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 108833
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License Number State | MO
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