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General NPI Number Information
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NPI Number | 1801994926
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Entity Type | Individual
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Provider Name | DAVID NORMAN KANTOR D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 8857 LADUE RD STE B
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City | SAINT LOUIS
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State | MO
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Zip | 63124-2045
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Country | US
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Telephone | 314-682-3626
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Fax | 314-590-5933
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Provider Business Mailing Address
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Address Line | 2325 DOUGHERTY FERRY RD STE 104
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City | SAINT LOUIS
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State | MO
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Zip | 63122-3356
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Country | US
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Telephone | 314-821-6889
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Fax | 314-821-1887
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R8687
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License Number State | MO
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