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NPI 1124023775

NPI 1124023775 : STEPHEN BARR HULEN D.M.D. : SEBRING, FL

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General NPI Number Information
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    NPI Number           |    1124023775
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN BARR HULEN D.M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/20/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3838 US 27 S STE 4
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33870-5460
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    Country              |    US
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    Telephone            |    863-385-8422
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    Fax                  |    863-385-0432
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Provider Business Mailing Address
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    Address Line         |    3838 US 27 S STE 4
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33870-5460
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    Country              |    US
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    Telephone            |    863-385-8422
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    Fax                  |    863-385-0432
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DN0010307
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    License Number State |    FL
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