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General NPI Number Information
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NPI Number | 1669619599
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Entity Type | Organization
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Legal Business Name | STEESE ORTHOPAEDIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 1405 KELLUM ST SUITE 101
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City | FAIRBANKS
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State | AK
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Zip | 99701-4102
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Country | US
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Telephone | 907-374-4636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70346
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City | FAIRBANKS
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State | AK
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Zip | 99707-0346
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Country | US
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Telephone | 907-374-4636
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Fax | 907-458-4896
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | RICHARD H. COBDEN
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Credential | MD
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Telephone | 907-374-4636
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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 | 3275
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License Number State | AK
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