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General NPI Number Information
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NPI Number | 1023805033
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Entity Type | Organization
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Legal Business Name | ANDREW STEIDLEY DMD MS PLLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1700 HUDSON ST SUITE #202
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City | LONGVIEW
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State | WA
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Zip | 98632
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Country | US
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Telephone | 360-342-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 HUDSON ST STE 202
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City | LONGVIEW
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State | WA
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Zip | 98632-2930
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Country | US
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Telephone | 360-342-6700
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Fax |
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Authorized Official
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Title or Position | DR/OWNER
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Name | ANDREW R STEIDLEY
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Credential | DMD, MS, DIPLO ABE
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Telephone | 360-342-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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