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NPI 1720583925

NPI 1720583925 : ANDREW MICHAEL STEFFENSMEIER MD : MIAMISBURG, OH

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General NPI Number Information
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    NPI Number           |    1720583925
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW MICHAEL STEFFENSMEIER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/28/2018
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    Last Update Date     |    09/13/2024
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Provider Practice Location Address
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    Address Line         |    4000 MIAMISBURG CENTERVILLE RD STE 230 
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    City                 |    MIAMISBURG
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    State                |    OH
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    Zip                  |    45342-7615
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    Country              |    US
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    Telephone            |    937-433-5309
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    Fax                  |    937-247-5154
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Provider Business Mailing Address
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    Address Line         |    1 PRESTIGE PL STE 550 
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    City                 |    MIAMISBURG
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    State                |    OH
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    Zip                  |    45342-6115
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    Country              |    US
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    Telephone            |    937-762-1310
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    Fax                  |    937-522-8068
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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        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    4351050655
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    35.150863
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    License Number State |    OH
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