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General NPI Number Information
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NPI Number | 1689611626
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Entity Type | Individual
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Provider Name | STEVEN R. KESSLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 05/30/2014
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Provider Practice Location Address
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Address Line | 979 E. THIRD STREET SUITE C-825
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City | CHATTANOOGA
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State | TN
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Zip | 37403
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Country | US
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Telephone | 423-778-4830
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Fax | 423-778-6154
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Provider Business Mailing Address
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Address Line | 975 E 3RD ST ATTN: PROVIDER ENROLLMENT
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2147
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Country | US
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Telephone | 423-778-5630
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Fax | 423-778-3146
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 211797
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2043
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License Number State | TN
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