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General NPI Number Information
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NPI Number | 1588936264
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Entity Type | Organization
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Legal Business Name | BARRY D. STEELE M.D. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 320 SUPERIOR AVE SUITE 190
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-2716
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Country | US
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Telephone | 949-631-4353
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Fax | 949-631-8238
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Provider Business Mailing Address
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Address Line | 320 SUPERIOR AVE SUITE 190
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-2716
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Country | US
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Telephone | 949-631-4353
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Fax | 949-631-8238
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY D STEELE
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Credential | M.D.
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Telephone | 949-631-4353
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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 | A23117
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License Number State | CA
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