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General NPI Number Information
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NPI Number | 1265553556
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Entity Type | Individual
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Provider Name | CHRISTOPHER PHILLIP STEINACKER D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-338-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 KILBURN RD N
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-3038
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Country | US
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Telephone | 517-410-2628
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 5315024710
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License Number State | MI
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