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General NPI Number Information
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NPI Number | 1932307105
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Entity Type | Organization
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Legal Business Name | SCOTT D KLOHR DMD LLC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 1608 S BIG BEND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63117-2208
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Country | US
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Telephone | 314-645-1225
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Fax | 314-645-1327
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Provider Business Mailing Address
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Address Line | 1608 S BIG BEND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63117-2208
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Country | US
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Telephone | 314-645-1225
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Fax | 314-645-1327
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SCOTT DOUGLAS KLOHR
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Credential | D.M.D.
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Telephone | 314-645-1225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2005026032
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License Number State | MO
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