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General NPI Number Information
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NPI Number | 1902086374
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Entity Type | Organization
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Legal Business Name | HEPATOLOGY AND GASTROENTEROLOGY ASSOCIATES INC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 1383 N MCDOWELL BLVD STE 110
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City | PETALUMA
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State | CA
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Zip | 94954-1190
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Country | US
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Telephone | 707-766-9852
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Fax | 707-766-8431
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Provider Business Mailing Address
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Address Line | 1383 N MCDOWELL BLVD STE 110
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City | PETALUMA
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State | CA
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Zip | 94954-1190
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Country | US
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Telephone | 415-668-9371
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Fax | 415-668-9191
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Authorized Official
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Title or Position | MD
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Name | STEPHEN LEO STEADY
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Credential | MD
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Telephone | 707-766-9852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology 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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A44200
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License Number State | CA
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