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NPI 1811958044

NPI 1811958044 : MARK B STEFFEN MD PA : GREAT BEND, KS

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General NPI Number Information
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    NPI Number           |    1811958044
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARK B STEFFEN MD PA 
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Dates
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    Enumeration Date     |    03/29/2006
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    Last Update Date     |    09/10/2014
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Provider Practice Location Address
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    Address Line         |    514 CLEVELAND ST 
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    City                 |    GREAT BEND
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    State                |    KS
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    Zip                  |    67530-3562
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    Country              |    US
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    Telephone            |    620-791-6215
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3500 N MAYFIELD RD 
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    City                 |    HUTCHINSON
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    State                |    KS
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    Zip                  |    67502-9461
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    Country              |    US
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    Telephone            |    620-791-6215
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARK  STEFFEN 
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    Credential           |    MD
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    Telephone            |    620-791-6215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LC0200X
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    Taxonomy Name        |    Critical Care Medicine (Anesthesiology) Physician
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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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        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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