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General NPI Number Information
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NPI Number | 1215259072
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Entity Type | Organization
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Legal Business Name | STEINKE & CARUSO DENTAL CARE
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 8 MAIN STREET
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City | SORRENTO
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State | ME
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Zip | 04677
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Country | US
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Telephone | 207-422-3770
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Fax | 207-422-6525
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Provider Business Mailing Address
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Address Line | PO BOX 175 8 MAIN STREET
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City | SORRENTO
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State | ME
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Zip | 04677-0175
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Country | US
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Telephone | 207-422-3770
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Fax | 207-422-6525
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Authorized Official
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Title or Position | CFO
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Name | JOSEPH CARUSO
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Credential |
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Telephone | 207-422-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3740
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License Number State | ME
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