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General NPI Number Information
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NPI Number | 1306114590
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Entity Type | Organization
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Legal Business Name | STEVEN D. FIELD, M.D. S. C.
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 666 DUNDEE ROAD SUITE 1701
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City | NORTHBROOK
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State | IL
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Zip | 60062-2738
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Country | US
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Telephone | 847-564-5645
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Fax | 847-564-7706
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Provider Business Mailing Address
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Address Line | 666 DUNDEE ROAD SUITE 1701
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City | NORTHBROOK
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State | IL
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Zip | 60062-2738
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Country | US
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Telephone | 847-564-5645
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Fax | 847-564-7706
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN DAVID FIELD
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Credential | MD
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Telephone | 847-564-5645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 036-057386
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License Number State | IL
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