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General NPI Number Information
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NPI Number | 1780149609
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Entity Type | Organization
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Legal Business Name | STEINBECK INC.
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Dates
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Enumeration Date | 02/05/2019
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 16135 HIGHWAY 71 S
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City | GREENWOOD
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State | AR
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Zip | 72936-7218
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Country | US
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Telephone | 479-996-5433
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Fax | 479-996-0438
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Provider Business Mailing Address
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Address Line | 10412 CASTLETON ST
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City | FORT SMITH
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State | AR
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Zip | 72908-9391
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Country | US
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Telephone | 501-529-0094
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Fax | 479-452-5847
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. MICHAEL JOHN STEINBECK
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Credential | LCSW
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Telephone | 501-529-0094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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