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General NPI Number Information
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NPI Number | 1922380344
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Entity Type | Individual
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Provider Name | RICHARD KLEINSCHMIDT PA
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Gender | Male
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1201 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1016
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Country | US
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Telephone | 314-617-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 ELEVEN SOUTH STE 4F
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City | COLUMBIA
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State | IL
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Zip | 62236
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Country | US
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Telephone | 618-628-0715
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Fax | 888-371-4468
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2023043647
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085004123
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License Number State | IL
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