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General NPI Number Information
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NPI Number | 1144208745
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Entity Type | Individual
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Provider Name | THERESA TUCKER STEELE PHD
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Gender | Female
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 1061 HARMON AVE, STE. 1D03 WINN ARMY COMMUNITY HOSPITAL
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City | FORT STEWART
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State | GA
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Zip | 31314-5674
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Country | US
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Telephone | 912-767-7301
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Fax | 912-767-7303
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Provider Business Mailing Address
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Address Line | 1061 HARMON AVE, STE. 1D03 WINN ARMY COMMUNITY HOSPITAL
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City | FORT STEWART
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State | GA
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Zip | 31314-5674
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Country | US
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Telephone | 912-767-7301
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Fax | 912-767-7303
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2798
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2798
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License Number State | NC
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