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General NPI Number Information
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NPI Number | 1487889853
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Entity Type | Organization
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Legal Business Name | DAVID A STEENBLOCK, D.O. INCORPORATED
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 26381 CROWN VALLEY PKWY STE 130
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6301
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Country | US
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Telephone | 949-367-7887
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Fax | 949-367-9779
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Provider Business Mailing Address
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Address Line | 26381 CROWN VALLEY PKWY STE 130
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6301
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Country | US
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Telephone | 949-367-8870
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Fax | 949-367-9779
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID A STEENBLOCK
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Credential | D. O.
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Telephone | 949-367-8870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 20A4160
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License Number State | CA
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