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General NPI Number Information
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NPI Number | 1982681490
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Entity Type | Organization
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Legal Business Name | STEPHEN L HELGEMO JR MD PA
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 18344 MURDOCK CIR
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1008
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Country | US
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Telephone | 941-625-6547
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Fax | 941-629-6415
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Provider Business Mailing Address
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Address Line | 18344 MURDOCK CIR
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1008
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Country | US
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Telephone | 941-625-6547
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Fax | 941-629-6415
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN L HELGEMO JR.
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Credential | MD
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Telephone | 941-625-6547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME0072747
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License Number State | FL
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