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General NPI Number Information
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NPI Number | 1336476456
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Entity Type | Organization
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Legal Business Name | STEVEN BREAUX MD PC
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 240 N BLUFF BLVD SUITE 200
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City | CLINTON
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State | IA
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Zip | 52732-7160
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Country | US
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Telephone | 563-243-0100
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Fax | 563-243-0550
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Provider Business Mailing Address
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Address Line | 240 N BLUFF BLVD SUITE 200
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City | CLINTON
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State | IA
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Zip | 52732-7160
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Country | US
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Telephone | 563-243-0100
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Fax | 563-243-0550
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Authorized Official
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Title or Position | DIRECTOR
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Name | STEVEN PAUL BREAUX
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Credential | MD
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Telephone | 563-243-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 36950
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License Number State | IA
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