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General NPI Number Information
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NPI Number | 1891747051
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Entity Type | Organization
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Legal Business Name | KIRPA LLC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 9326 OLIVE BLVD
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City | OLIVETTE
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State | MO
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Zip | 63132-3257
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Country | US
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Telephone | 314-725-5556
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Fax | 314-576-9832
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Provider Business Mailing Address
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Address Line | 9326 OLIVE BLVD
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City | OLIVETTE
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State | MO
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Zip | 63132-3257
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Country | US
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Telephone | 314-725-5556
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Fax | 314-576-9832
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Authorized Official
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Title or Position | MEMBER
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Name | BINWANT K SINGH
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Credential | M.D.
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Telephone | 314-725-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36041
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License Number State | MO
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