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General NPI Number Information
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NPI Number | 1215257084
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Entity Type | Individual
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Provider Name | LODZE STECKMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 760 BROADWAY
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City | BROOKLYN
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State | NY
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Zip | 11206-5317
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Country | US
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Telephone | 781-963-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 277 PIPING ROCK RD
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City | LOCUST VALLEY
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State | NY
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Zip | 11560-2504
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Country | US
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Telephone | 781-254-3091
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 256450
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | LT3980
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License Number State | NH
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