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General NPI Number Information
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NPI Number | 1346222361
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Entity Type | Individual
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Provider Name | MARIJO STEENSTRA M.S.
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 721 S HEALTH PKWY MEDICAL OFFICE BUILDING 2
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City | THREE RIVERS
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State | MI
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Zip | 49093-8352
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Country | US
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Telephone | 269-273-6400
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Fax | 269-273-9639
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Provider Business Mailing Address
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Address Line | 711 S HEALTH PKWY SUITE L-7
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City | THREE RIVERS
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State | MI
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Zip | 49093-9387
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Country | US
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Telephone | 269-273-9723
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Fax | 269-273-9746
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301048060
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License Number State | MI
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