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General NPI Number Information
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NPI Number | 1902015498
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Entity Type | Organization
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Legal Business Name | STEPHEN R STEELE DO INC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 78120 WILDCAT DR
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City | PALM DESERT
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State | CA
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Zip | 92211-1140
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Country | US
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Telephone | 760-360-1433
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Fax | 760-360-5092
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Provider Business Mailing Address
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Address Line | 78120 WILDCAT DR
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City | PALM DESERT
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State | CA
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Zip | 92211-1140
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Country | US
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Telephone | 760-360-1433
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Fax | 760-360-5092
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN R STEELE
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Credential | D.O.
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Telephone | 760-360-1433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 20A555
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License Number State | CA
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