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General NPI Number Information
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NPI Number | 1013047687
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Entity Type | Organization
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Legal Business Name | DR MARK A STEELE DDS PA
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 607 W DIXIE AVE DR MARK A STEELE
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City | LEESBURG
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State | FL
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Zip | 34748-6356
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Country | US
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Telephone | 352-787-3789
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Fax |
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Provider Business Mailing Address
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Address Line | 607 W DIXIE AVE DR MARK A STEELE
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City | LEESBURG
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State | FL
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Zip | 34748-6356
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Country | US
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Telephone | 352-787-3789
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Fax |
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Authorized Official
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Title or Position | PRESIDENT SECRETARY
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Name | DR. MARK A STEELE
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Credential | DDS
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Telephone | 352-787-3789
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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 | DN0012246
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License Number State | FL
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