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NPI 1336227545

NPI 1336227545 : STEVEN M MCATEE R.PH. : ROLLA, ND

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General NPI Number Information
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    NPI Number           |    1336227545
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN M MCATEE R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/02/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    117 MAIN AVE E 
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    City                 |    ROLLA
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    State                |    ND
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    Zip                  |    58367-0819
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    Country              |    US
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    Telephone            |    701-447-3174
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 819 117 MAIN AVE E
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    City                 |    ROLLA
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    State                |    ND
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    Zip                  |    58367-0819
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    Country              |    US
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    Telephone            |    701-447-3174
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    3646
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    License Number State |    ND
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