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General NPI Number Information
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NPI Number | 1629176896
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Entity Type | Organization
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Legal Business Name | STEVEN W SUKIN MD PA
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 455 SCHOOL ST STE 14
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City | TOMBALL
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State | TX
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Zip | 77375-4593
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Country | US
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Telephone | 281-255-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 455 SCHOOL ST STE 14
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City | TOMBALL
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State | TX
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Zip | 77375-4593
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Country | US
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Telephone | 281-255-9229
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | STEVEN WAYNE SUKIN
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Credential | M.D.
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Telephone | 832-813-0432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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