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General NPI Number Information
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NPI Number | 1053329615
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Entity Type | Individual
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Provider Name | STEVEN STANOS JR. DO
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 1101 MADISON ST SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98104-1306
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Country | US
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Telephone | 206-386-2013
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Fax | 206-386-2149
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036-100572
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 036-100572
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 036-100572
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License Number State | IL
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