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NPI 1013708361

NPI 1013708361 : CHRISTIAN OWEN STEPP DDS : WAVERLY, OH

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General NPI Number Information
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    NPI Number           |    1013708361
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTIAN OWEN STEPP DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/15/2025
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    10954 US HIGHWAY 23 STE 9 
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    City                 |    WAVERLY
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    State                |    OH
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    Zip                  |    45690-8990
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    Country              |    US
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    Telephone            |    740-947-8200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    107 CANTERBURY DR 
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    City                 |    JACKSON
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    State                |    OH
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    Zip                  |    45640-2073
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    Country              |    US
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    Telephone            |    740-577-8782
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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       |    30.027959
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    License Number State |    OH
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