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General NPI Number Information
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NPI Number | 1164453494
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Entity Type | Organization
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Legal Business Name | STEVEN J. PORTER MD INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 386 N VILLA ST STE A
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City | PORTERVILLE
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State | CA
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Zip | 93257-3252
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Country | US
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Telephone | 559-781-4711
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Fax | 559-781-4712
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Provider Business Mailing Address
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Address Line | 386 N VILLA ST STE A
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City | PORTERVILLE
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State | CA
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Zip | 93257-3252
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Country | US
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Telephone | 559-781-4711
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Fax | 559-781-4712
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | STEVEN J. PORTER
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Credential | MD
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Telephone | 559-781-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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