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General NPI Number Information
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NPI Number | 1073676649
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Entity Type | Individual
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Provider Name | STEVE STEWART DORSCH DDS
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 44340 PREMIER PLZ SUITE 100
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City | ASHBURN
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State | VA
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Zip | 20147-5025
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Country | US
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Telephone | 703-729-8700
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Fax | 703-729-5300
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Provider Business Mailing Address
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Address Line | 15264 LOYALTY RD
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City | WATERFORD
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State | VA
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Zip | 20197-1214
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Country | US
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Telephone | 540-882-9242
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0401008255
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License Number State | VA
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