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General NPI Number Information
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NPI Number | 1720150774
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Entity Type | Individual
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Provider Name | STEVEN JEFFREY STUMMER D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 2631 MERRICK RD STE 300
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City | BELLMORE
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State | NY
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Zip | 11710-5784
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Country | US
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Telephone | 516-781-9800
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Fax | 631-754-2909
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Provider Business Mailing Address
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Address Line | 62 VILLAGE HILL DR
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City | DIX HILLS
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State | NY
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Zip | 11746-8337
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Country | US
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Telephone | 516-449-1842
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Fax |
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N005188
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License Number State | NY
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