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General NPI Number Information
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NPI Number | 1598128985
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Entity Type | Individual
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Provider Name | ROBERT BLAKE STEELE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 148 S 1100 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2817
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Country | US
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Telephone | 386-336-7461
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Fax | 385-336-7462
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Provider Business Mailing Address
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Address Line | 148 S 1100 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2817
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Country | US
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Telephone | 386-336-7461
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Fax | 385-336-7462
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD470518
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 12675993-1205
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License Number State | UT
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