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General NPI Number Information
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NPI Number | 1013697507
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Entity Type | Individual
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Provider Name | NICOLE D STELIOTES DMD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 2663 1ST AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-8703
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Country | US
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Telephone | 727-332-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 214 ABBEY BROOK LN
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City | VENETIA
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State | PA
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Zip | 15367-1058
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Country | US
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Telephone | 724-825-8000
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN28034
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License Number State | FL
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