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General NPI Number Information
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NPI Number | 1851802979
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Entity Type | Individual
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Provider Name | PAUL GARRETT STEINHOFF ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 10/16/2017
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Provider Practice Location Address
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Address Line | 8555 FM 32
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City | FISCHER
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State | TX
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Zip | 78623-2424
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Country | US
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Telephone | 830-885-1751
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 ALPINE POND
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City | SAN ANTONIO
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State | TX
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Zip | 78260-6004
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Country | US
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Telephone | 210-867-7793
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT4437
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License Number State | TX
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