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General NPI Number Information
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NPI Number | 1427020619
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Entity Type | Organization
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Legal Business Name | STEVEN POWELL, MD, PA
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 2910 SE 3RD CT SUITE A
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City | OCALA
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State | FL
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Zip | 34471-0485
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Country | US
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Telephone | 352-732-0339
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Fax | 352-732-3715
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Provider Business Mailing Address
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Address Line | 2910 SE 3RD CT
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City | OCALA
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State | FL
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Zip | 34471-0485
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Country | US
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Telephone | 352-732-0339
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Fax | 352-732-3715
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STEVEN POWELL
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Credential | MD
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Telephone | 352-732-0339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME46230
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License Number State | FL
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