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General NPI Number Information
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NPI Number | 1154338747
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Entity Type | Organization
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Legal Business Name | STEVEN MEHL, D.P.M., P.C.
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 11/23/2007
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Provider Practice Location Address
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Address Line | 6508 GRAND AVE
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City | MASPETH
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State | NY
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Zip | 11378-2423
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Country | US
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Telephone | 718-326-7771
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Fax | 718-326-7778
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Provider Business Mailing Address
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Address Line | 6508 GRAND AVE
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City | MASPETH
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State | NY
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Zip | 11378-2423
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Country | US
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Telephone | 718-326-7771
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Fax | 718-326-7778
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN MEHL
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Credential | D.P.M.
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Telephone | 718-326-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N003266
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License Number State | NY
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