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General NPI Number Information
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NPI Number | 1487624094
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Entity Type | Individual
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Provider Name | MR. STEVEN MICHAEL DENMARK
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 258 SAN JOSE ST STE. A
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City | SALINAS
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State | CA
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Zip | 93901-3934
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Country | US
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Telephone | 831-754-2238
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Fax | 831-754-0629
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Provider Business Mailing Address
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Address Line | 258 A SAN JOSE ST
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City | SALINAS
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State | CA
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Zip | 93901-3934
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Country | US
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Telephone | 831-754-2238
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Fax | 831-754-0629
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 00G376600
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License Number State | CA
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