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General NPI Number Information
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NPI Number | 1427104611
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Entity Type | Individual
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Provider Name | DONALD JAMES STEFL II DPM
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Gender | Male
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 2705 BRAMBLETON AVE SW
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City | ROANOKE
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State | VA
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Zip | 24015-4307
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Country | US
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Telephone | 540-774-5585
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Fax | 540-774-5703
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Provider Business Mailing Address
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Address Line | PO BOX 4127
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City | ROANOKE
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State | VA
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Zip | 24015-0127
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Country | US
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Telephone | 540-774-5585
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Fax | 540-774-5703
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103000646
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License Number State | VA
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