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General NPI Number Information
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NPI Number | 1326052853
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Entity Type | Organization
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Legal Business Name | STEVEN K. MANGAR, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 680 E ROMIE LN STE B
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City | SALINAS
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State | CA
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Zip | 93901-4206
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Country | US
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Telephone | 831-751-3334
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Fax | 831-751-3339
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Provider Business Mailing Address
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Address Line | PO BOX 1530
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City | SALINAS
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State | CA
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Zip | 93902-1530
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Country | US
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Telephone | 831-751-3334
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Fax | 831-751-3339
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Authorized Official
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Title or Position | PHYSICIAN
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Name | STEVEN KEITH MANGAR
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Credential | M.D.
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Telephone | 831-751-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A65476
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License Number State | CA
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