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General NPI Number Information
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NPI Number | 1083023303
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Entity Type | Organization
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Legal Business Name | STEPHANIE K. TEOTIA MD PA
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 4231 CEDAR SPRINGS RD
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City | DALLAS
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State | TX
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Zip | 75219-2691
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Country | US
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Telephone | 214-823-9652
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Fax | 214-823-4935
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Provider Business Mailing Address
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Address Line | 4231 CEDAR SPRINGS RD
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City | DALLAS
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State | TX
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Zip | 75219-2691
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Country | US
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Telephone | 214-823-9652
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Fax | 214-823-4935
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | STEPHANIE K TEOTIA
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Credential |
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Telephone | 214-823-9652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | P2194
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License Number State | TX
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