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General NPI Number Information
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NPI Number | 1053307298
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Entity Type | Individual
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Provider Name | STEPHEN PATRICK ANTHONY D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 309 E FARWELL RD SUITE 100
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City | SPOKANE
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State | WA
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Zip | 99218-8202
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Country | US
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Telephone | 509-464-2873
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Fax | 509-466-0914
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-2987
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | OP00001601
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 4488
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License Number State | AZ
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