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General NPI Number Information
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NPI Number | 1144225798
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Entity Type | Individual
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Provider Name | STEVEN CRAIG HUMPHREYS MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 240 HOSPITAL PL STE 104
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City | SOLDOTNA
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State | AK
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Zip | 99669-7559
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Country | US
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Telephone | 907-145-7707
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Fax | 907-714-3111
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Provider Business Mailing Address
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Address Line | 250 HOSPITAL PL
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City | SOLDOTNA
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State | AK
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Zip | 99669-7559
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Country | US
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Telephone | 907-714-5770
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Fax | 907-714-3111
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 6826
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 6826
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 6826
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License Number State | AK
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