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General NPI Number Information
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NPI Number | 1902088693
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Entity Type | Organization
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Legal Business Name | ALLIED ASSOCIATES IN OB GYN INC
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 621 S NEW BALLAS RD STE 618A
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8262
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Country | US
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Telephone | 314-569-2751
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Fax | 314-569-2986
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Provider Business Mailing Address
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Address Line | 621 S NEW BALLAS RD STE 101A
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8252
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Country | US
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Telephone | 314-569-2751
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Fax | 314-569-2986
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LINDA BEISWENGER
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Credential |
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Telephone | 314-569-2751
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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 |
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License Number State |
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