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General NPI Number Information
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NPI Number | 1164436655
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Entity Type | Individual
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Provider Name | GREGG A. STEAHR PA
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 601 E ROLLINS ST CRITICAL CARE SPECIALISTS
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-303-7283
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Fax | 407-303-0347
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD # 3D
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3849
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Country | US
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Telephone | 947-522-4352
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110009501
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601012124
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 002061
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA063830
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9107955
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License Number State | FL
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