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General NPI Number Information
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NPI Number | 1316500325
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Entity Type | Individual
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Provider Name | MR. STEVEN TULL I
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Gender | Male
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 26111 GREEN BRIAR RD
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City | SEAFORD
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State | DE
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Zip | 19973-4617
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Country | US
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Telephone | 302-228-2633
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Fax |
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Provider Business Mailing Address
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Address Line | 26111 GREEN BRIAR RD
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City | SEAFORD
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State | DE
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Zip | 19973-4617
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Country | US
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Telephone | 302-228-2633
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | 2011602711
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License Number State | DE
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