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General NPI Number Information
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NPI Number | 1962414227
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Entity Type | Individual
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Provider Name | JOE D BEHRMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 1034 S. BRENTWOOD BLVD. SUITE 516
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City | ST. LOUIS
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State | MO
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Zip | 63117
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Country | US
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Telephone | 314-230-4490
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Fax | 314-453-3477
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Provider Business Mailing Address
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Address Line | 1034 S. BRENTWOOD BLVD. SUITE 516
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City | ST. LOUIS
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State | MO
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Zip | 63117
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Country | US
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Telephone | 314-230-4490
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Fax | 314-453-3477
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2004008629
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License Number State | MO
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