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NPI 1770288987

NPI 1770288987 : WILLIAM CHRISTOPHER STEHNACH DO : LACKLAND AIR FORCE BASE, TX

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General NPI Number Information
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    NPI Number           |    1770288987
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM CHRISTOPHER STEHNACH DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/05/2023
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    Last Update Date     |    01/06/2025
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Provider Practice Location Address
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    Address Line         |    2200 BERGQUIST DR 2ND FLOOR, WING D
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    City                 |    LACKLAND AIR FORCE BASE
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    State                |    TX
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    Zip                  |    78236-9911
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    Country              |    US
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    Telephone            |    210-292-8218
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    714 MCCULLOUGH AVE APT 129 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78215-1173
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    Country              |    US
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    Telephone            |    618-670-7620
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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        |    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 #2
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    0102209070
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    License Number State |    VA
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