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NPI 1063595817

NPI 1063595817 : RICHARD STEINMETZ DPM : PORTLAND, ME

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General NPI Number Information
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    NPI Number           |    1063595817
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD STEINMETZ DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/23/2006
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    Last Update Date     |    04/30/2018
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Provider Practice Location Address
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    Address Line         |    980 FOREST AVE STE 102
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04103-3357
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    Country              |    US
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    Telephone            |    207-854-0300
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    Fax                  |    207-856-2807
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Provider Business Mailing Address
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    Address Line         |    980 FOREST AVE STE 102
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04103-3357
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    Country              |    US
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    Telephone            |    207-854-0300
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    Fax                  |    207-856-2807
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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        |    213ES0131X
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    Taxonomy Name        |    Foot Surgery Podiatrist
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    License Number       |    POD167
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    License Number State |    ME
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