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General NPI Number Information
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NPI Number | 1063600757
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Entity Type | Organization
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Legal Business Name | CHARLES P STEINMANN MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 1901 NEWPORT BLVD 120
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City | COSTA MESA
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State | CA
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Zip | 92627-2278
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Country | US
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Telephone | 949-675-2147
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Fax | 949-675-2148
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Provider Business Mailing Address
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Address Line | PO BOX 1966
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-0966
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Country | US
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Telephone | 949-675-2147
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Fax | 949-675-2148
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Authorized Official
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Title or Position | OWNER/MD
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Name | MR. CHARLES P STEINMANN
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Credential | MD
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Telephone | 939-675-2147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A24786
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License Number State | CA
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