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General NPI Number Information
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NPI Number | 1821423385
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Entity Type | Organization
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Legal Business Name | EXCEL ORTHOPEDICS LLC
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 17300 N OUTER 40 RD SUITE 316
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1375
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Country | US
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Telephone | 636-778-3177
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Fax | 314-309-2551
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Provider Business Mailing Address
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Address Line | 17300 N OUTER 40 RD SUITE 316
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1375
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Country | US
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Telephone | 636-778-3177
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Fax | 314-309-2551
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CHRISTOPHER JAMES LENARZ
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Credential | M.D.
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Telephone | 636-778-3177
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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 | 2011010502
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License Number State | MO
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