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General NPI Number Information
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NPI Number | 1851482582
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Entity Type | Organization
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Legal Business Name | CHILD NEUROLOGY ASSOCIATES INC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 226 S WOODS MILL RD 46 W
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3663
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Country | US
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Telephone | 314-275-7070
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Fax | 314-275-2666
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Provider Business Mailing Address
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Address Line | 226 S WOODS MILL RD 46 W
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3663
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Country | US
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Telephone | 314-275-7070
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Fax | 314-275-2666
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES RICHARD ROHRBAUGH
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Credential | MD
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Telephone | 314-275-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number |
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License Number State |
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