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General NPI Number Information
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NPI Number | 1770587032
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Entity Type | Individual
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Provider Name | DONNA S. STECKAL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 616 S BEELINE HWY STE 107
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City | PAYSON
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State | AZ
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Zip | 85541-5380
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Country | US
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Telephone | 928-474-4452
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Fax | 928-474-4898
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Provider Business Mailing Address
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Address Line | PO BOX 2204 616 S BEELINE HWY STE 107
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City | PAYSON
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State | AZ
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Zip | 85547-2204
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Country | US
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Telephone | 928-474-4452
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Fax | 928-474-4898
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3131
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License Number State | AZ
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