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Individual
MR. STEPHEN GREGG DECKER
Active
Individual
MR. STEPHEN GREGG DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9675
NC
225100000X
Physical Therapist
Primary
PT012314
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025419330001
—
PA
01
—
149TT
BCBSNC
NC
05
—
7212400
—
NC
01
—
P00975709
RAILROAD MEDICARE
—
Enumeration date
04/10/2008
Last updated
04/04/2012
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