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General NPI Number Information
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NPI Number | 1518058650
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Entity Type | Individual
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Provider Name | ERIC CHRISTIAN STEEN DO
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 2460 LEE HWY N SUITE 4
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City | PULASKI
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State | VA
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Zip | 24301-2335
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Country | US
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Telephone | 540-980-9660
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Fax |
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Provider Business Mailing Address
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Address Line | 2460 LEE HWY N SUITE 4
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City | PULASKI
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State | VA
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Zip | 24301-2335
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Country | US
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Telephone | 540-980-9660
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0102201921
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License Number State | VA
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