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General NPI Number Information
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NPI Number | 1801079512
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Entity Type | Organization
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Legal Business Name | STEINER MEDICAL AND THERAPEUTIC CENTER
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 1220 VALLEY FORGE RD # 3536
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-2676
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Country | US
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Telephone | 610-933-1688
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Fax | 610-983-0698
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Provider Business Mailing Address
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Address Line | 1220 VALLEY FORGE RD # 3536
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-2676
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Country | US
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Telephone | 610-933-1688
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Fax | 610-983-0698
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRA SCOTT CANTOR
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Credential | M.D.
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Telephone | 610-933-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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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 | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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