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General NPI Number Information
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NPI Number | 1942308713
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Entity Type | Organization
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Legal Business Name | TOWN & COUNTRY ORTHOPEDICS, INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 3009 N BALLAS RD 243A
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2322
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Country | US
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Telephone | 314-989-1091
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Fax | 314-432-8144
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Provider Business Mailing Address
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Address Line | 3009 N BALLAS RD 243A
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2322
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Country | US
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Telephone | 314-989-1091
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Fax | 314-432-8144
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Authorized Official
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Title or Position | PRESIDENT
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Name | KURT MERKEL
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Credential |
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Telephone | 314-989-1091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | R3F06
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License Number State | MO
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