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General NPI Number Information
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NPI Number | 1053709584
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Entity Type | Organization
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Legal Business Name | RICHARD L. STEEL, DDS,LLC
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 3645 PROVIDENCE RD
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-3006
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Country | US
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Telephone | 610-356-2667
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Fax |
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Provider Business Mailing Address
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Address Line | 3645 PROVIDENCE RD
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-3006
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Country | US
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Telephone | 610-356-2667
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD L STEEL
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Credential | DDS
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Telephone | 610-356-2667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | PA23100-L
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License Number State | PA
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