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General NPI Number Information
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NPI Number | 1841567849
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Entity Type | Organization
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Legal Business Name | WILLIAM E PEARSON, LTD
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Dates
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Enumeration Date | 11/19/2011
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Last Update Date | 11/19/2011
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Provider Practice Location Address
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Address Line | 12166 OLD BIG BEND RD STE 306
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City | KIRKWOOD
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State | MO
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Zip | 63122-6844
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Country | US
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Telephone | 314-984-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 12816 TOPPING MDWS
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1419
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Country | US
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Telephone | 314-432-3108
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/SECRETARY
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Name | DR. WILLIAM PEARSON
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Credential | M.D.
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Telephone | 314-497-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 31792
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License Number State | MO
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