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General NPI Number Information
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NPI Number | 1649704792
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Entity Type | Organization
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Legal Business Name | STEED ENTERPRISES, LLC
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Dates
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Enumeration Date | 04/16/2017
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Last Update Date | 04/16/2017
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Provider Practice Location Address
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Address Line | 7 MAIN ST
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City | CANISTEO
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State | NY
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Zip | 14823-1125
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Country | US
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Telephone | 607-698-4641
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Fax | 607-698-2527
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Provider Business Mailing Address
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Address Line | 2630 HONEYSUCKLE LN
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City | ELMIRA
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State | NY
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Zip | 14903-9352
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Country | US
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Telephone | 607-731-4432
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Fax | 607-698-2527
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANK STEED
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Credential |
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Telephone | 607-698-4641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 035401
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License Number State | NY
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