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General NPI Number Information
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NPI Number | 1801902325
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Entity Type | Individual
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Provider Name | ROBERT C FRENCH D.M.D., F.I.C.D., P.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 777 S NEW BALLAS RD SUITE 213W
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8705
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Country | US
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Telephone | 314-432-5470
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Fax | 314-432-1109
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Provider Business Mailing Address
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Address Line | 121 BRYN WYCK PL
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City | CREVE COEUR
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State | MO
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Zip | 63141-8007
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Country | US
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Telephone | 314-878-7769
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Fax | 314-432-1109
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 015068
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License Number State | MO
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