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Individual
SERGEY STEPANOV
Active
Individual
SERGEY STEPANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N1462
TX
207R00000X
Internal Medicine Physician
248715
NY
207R00000X
Internal Medicine Physician
Primary
N1462
TX
208100000X
Physical Medicine & Rehabilitation Physician
N1462
TX
Other
Enumeration date
06/05/2008
Last updated
01/10/2013
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