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General NPI Number Information
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NPI Number | 1396125027
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Entity Type | Organization
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Legal Business Name | STEELE DERMATOLOGY, LLC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 11500 WEBB BRIDGE WAY A4
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City | ALPHARETTA
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State | GA
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Zip | 30005-2046
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Country | US
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Telephone | 770-464-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 11500 WEBB BRIDGE WAY A4
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City | ALPHARETTA
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State | GA
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Zip | 30005-2046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | DR. CHYNNA STEELE
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Credential |
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Telephone | 773-983-6432
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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 | 62610
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License Number State | GA
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