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General NPI Number Information
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NPI Number | 1093941601
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Entity Type | Organization
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Legal Business Name | STEPHEN DENT M.D. INC.
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 2020 CASSIA RD STE 101
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City | CARLSBAD
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State | CA
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Zip | 92009-4211
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Country | US
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Telephone | 760-479-2100
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Fax | 619-858-0928
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Provider Business Mailing Address
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Address Line | 2027 NEWCASTLE AVE 1197 PO BOX
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City | CARDIFF BY THE SEA
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State | CA
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Zip | 92007-1751
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Country | US
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Telephone | 760-479-2100
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Fax | 760-479-2101
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DAWN MCCLOSKEY
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Credential | COPM
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Telephone | 760-479-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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