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General NPI Number Information
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NPI Number | 1952515108
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Entity Type | Individual
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Provider Name | HERSHELL GENE STEELE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 27499 RIVERVIEW CENTER BLVD STE 238
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-4335
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Country | US
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Telephone | 850-920-7520
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Fax | 239-345-9079
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Provider Business Mailing Address
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Address Line | 25501 TROST BLVD LOT 14-02
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-6422
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Country | US
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Telephone | 239-980-3620
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN15936
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN15936
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License Number State | FL
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