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General NPI Number Information
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NPI Number | 1992962674
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Entity Type | Organization
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Legal Business Name | CONSULTANTS IN GENERAL SURGERY, INC.
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 6150 OAKLAND AVE 2ND FLOOR WCC
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City | SAINT LOUIS
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State | MO
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Zip | 63139-3215
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Country | US
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Telephone | 314-845-2500
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Fax | 314-845-8060
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Provider Business Mailing Address
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Address Line | 617 BROOKMONT LAKE CT
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City | CHESTERFIELD
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State | MO
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Zip | 63017-7059
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Country | US
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Telephone | 314-845-2500
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Fax | 314-845-8060
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Authorized Official
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Title or Position | PRESIDENT GENERAL SURGEON
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Name | MR. HERBERT NORMAN SHAPIRO
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Credential | MD
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Telephone | 314-845-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 27603
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License Number State | MO
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