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General NPI Number Information
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NPI Number | 1033366653
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Entity Type | Individual
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Provider Name | STEVEN CALLOWAY
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Gender | Male
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 101 VILLA DR
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City | DAPHNE
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State | AL
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Zip | 36526-4653
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Country | US
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Telephone | 251-621-4431
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Fax |
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Provider Business Mailing Address
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Address Line | 26605 JAN CT S
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City | DAPHNE
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State | AL
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Zip | 36526-8530
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Country | US
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Telephone |
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH 3667
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License Number State | AL
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