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General NPI Number Information
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NPI Number | 1053463877
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Entity Type | Organization
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Legal Business Name | STEPHEN C. MCNEESE, M.D., INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2701 W ALAMEDA AVE SUITE 602
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City | BURBANK
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State | CA
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Zip | 91505-4402
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Country | US
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Telephone | 818-840-8335
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Fax | 818-843-7384
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Provider Business Mailing Address
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Address Line | 2701 W ALAMEDA AVE SUITE 602
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City | BURBANK
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State | CA
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Zip | 91505-4402
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Country | US
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Telephone | 818-840-8335
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Fax | 818-843-7384
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN C. MCNEESE
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Credential | M.D.
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Telephone | 818-840-8335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | C037119
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License Number State | CA
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