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General NPI Number Information
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NPI Number | 1376174698
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Entity Type | Organization
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Legal Business Name | STECKLEIN ENTERPRISES LLC
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 2505 CANTERBURY DR
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City | HAYS
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State | KS
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Zip | 67601-2233
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Country | US
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Telephone | 785-625-2529
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Fax | 785-625-8176
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Provider Business Mailing Address
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Address Line | 2505 CANTERBURY DR
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City | HAYS
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State | KS
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Zip | 67601-2233
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Country | US
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Telephone | 785-625-2529
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Fax | 785-625-8176
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE STECKLEIN
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Credential |
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Telephone | 785-625-2529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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