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General NPI Number Information
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NPI Number | 1053087023
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Entity Type | Individual
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Provider Name | CONNER JOSEPH STEFFKE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 7402 WESTSHIRE DR STE 105
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City | LANSING
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State | MI
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Zip | 48917-8687
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Country | US
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Telephone | 517-853-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 4240 W WEIDMAN RD
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City | WEIDMAN
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State | MI
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Zip | 48893-9717
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Country | US
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Telephone | 989-289-4251
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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 |
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License Number State |
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