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General NPI Number Information
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NPI Number | 1194747493
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Entity Type | Individual
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Provider Name | STEVEN AUGUST KING DPM
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 717 S STATE ST STE 900
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City | FAIRMONT
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State | MN
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Zip | 56031-4469
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Country | US
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Telephone | 507-238-4949
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Fax | 507-238-3365
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Provider Business Mailing Address
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Address Line | 2180 MAIN ST
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City | WAILUKU
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State | HI
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Zip | 96793-1666
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Country | US
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Telephone | 808-242-6464
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Fax | 808-243-2345
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO137
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1134
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License Number State | MN
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