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General NPI Number Information
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NPI Number | 1578672382
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Entity Type | Organization
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Legal Business Name | TERRY L. STECKMAN, O.D.,P.C.
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 62968 O B RILEY RD STE#11
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City | BEND
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State | OR
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Zip | 97701-9442
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Country | US
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Telephone | 541-382-2020
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Fax | 541-382-5004
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Provider Business Mailing Address
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Address Line | 62968 O B RILEY RD STE #11
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City | BEND
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State | OR
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Zip | 97701-9442
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Country | US
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Telephone | 541-382-2020
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Fax | 541-382-5004
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Authorized Official
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Title or Position | VP FINANCE
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Name | MRS. JUDY ANN STECKMAN
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Credential |
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Telephone | 541-382-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 1407ATI
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License Number State | OR
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