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General NPI Number Information
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NPI Number | 1801051255
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Entity Type | Individual
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Provider Name | ROBERT M WEST D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 12/17/2015
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Provider Practice Location Address
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Address Line | 15510 OLIVE BLVD SUITE 115
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City | CHESTERFIELD
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State | MO
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Zip | 63017-0170
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Country | US
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Telephone | 314-720-0050
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Fax | 314-787-2133
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Provider Business Mailing Address
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Address Line | 15510 OLIVE BLVD SUITE 115
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City | CHESTERFIELD
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State | MO
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Zip | 63017-0170
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Country | US
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Telephone | 314-720-0050
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Fax | 314-787-2133
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 34.009978
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 2014010407
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License Number State | MO
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