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General NPI Number Information
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NPI Number | 1821390279
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Entity Type | Individual
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Provider Name | KEITH PATRICK STEINHURST R.S.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 2050 WORTH RD, BLDG 2792, RM 312 HQ USAMEDCOM (MCOP-E)
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City | FT. SAM HOUSTON
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State | TX
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Zip | 78234-6007
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Country | US
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Telephone | 210-221-6627
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 WORTH RD, BLDG 2792, RM 312 HQ USAMEDCOM (MCOP-E)
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City | FT. SAM HOUSTON
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State | TX
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Zip | 78234-6007
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Country | US
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Telephone | 210-221-6627
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 4202
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License Number State | TX
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