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General NPI Number Information
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NPI Number | 1104194638
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Entity Type | Individual
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Provider Name | ROBERT JAROD STECKMEYER FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 718 N MACOMB ST
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City | MONROE
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State | MI
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Zip | 48162-7815
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Country | US
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Telephone | 734-240-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 4235 SECOR RD
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City | TOLEDO
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State | OH
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Zip | 43623-4231
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Country | US
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Telephone | 419-479-5327
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704253894
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License Number State | MI
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