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General NPI Number Information
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NPI Number | 1124593462
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Entity Type | Individual
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Provider Name | MACKENZIE STEEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1237 HARDING PLACE SUITE 4300
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City | CHARLOTTE
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State | NC
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Zip | 28204
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Country | US
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Telephone | 704-373-0212
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Fax | 704-468-3675
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Provider Business Mailing Address
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Address Line | 1237 HARDING PLACE SUITE 4300
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City | CHARLOTTE
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State | NC
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Zip | 28204
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Country | US
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Telephone | 704-373-0212
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Fax | 704-468-3675
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 085-006755
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0010-15227
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License Number State | NC
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