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General NPI Number Information
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NPI Number | 1619902707
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Entity Type | Individual
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Provider Name | JESSE L STEM MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 7800 66TH ST N STE 105
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2101
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Country | US
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Telephone | 727-490-9115
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Fax | 855-592-2984
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Provider Business Mailing Address
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Address Line | 7800 66TH ST N STE 105
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2101
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Country | US
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Telephone | 727-490-9115
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Fax | 855-592-2984
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101230890
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME161780
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 0101230890
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME161780
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License Number State | FL
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