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General NPI Number Information
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NPI Number | 1831073345
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Entity Type | Individual
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Provider Name | PETER EBERHARDT STEINERT PTA
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Gender | Male
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 240 MEETING HOUSE LN
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-5009
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Country | US
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Telephone | 631-726-8520
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Fax |
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Provider Business Mailing Address
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Address Line | 16 EAGLE HILL CT
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City | HALESITE
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State | NY
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Zip | 11743-1425
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Country | US
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Telephone | 631-375-6213
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Fax | 631-375-6213
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 014948
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License Number State | NY
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