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General NPI Number Information
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NPI Number | 1114876398
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Entity Type | Organization
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Legal Business Name | STEFON'S SMILE
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 7400 BEAUFONT SPRING DR STE 322
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5556
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Country | US
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Telephone | 804-651-4407
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Fax |
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Provider Business Mailing Address
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Address Line | 21149 BAILEYS LN
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23803-2117
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Country | US
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Telephone | 804-651-4407
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | SHAREEN YOUNG-CHAVEZ
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Credential | YOUNG-CHAVEZ
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Telephone | 804-651-4407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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