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General NPI Number Information
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NPI Number | 1740228717
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Entity Type | Organization
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Legal Business Name | STEVEN H FEHRENKAMP MD PA
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 4007 JAMES CASEY A230
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-445-2833
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Fax | 512-445-4121
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Provider Business Mailing Address
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Address Line | 4007 JAMES CASEY A230
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-445-2833
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Fax | 512-445-4121
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN HARRY FEHRENKAMP
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Credential | MD
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Telephone | 512-445-2833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E8463
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | E8463
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License Number State | TX
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