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General NPI Number Information
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NPI Number | 1245534809
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Entity Type | Organization
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Legal Business Name | DANE STEFFEN, DDS PROF LLC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 3220 W 57TH ST SUITE 115
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City | SIOUX FALLS
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State | SD
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Zip | 57108-3145
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Country | US
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Telephone | 605-275-3773
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Fax | 605-275-3780
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Provider Business Mailing Address
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Address Line | 3220 W 57TH ST SUITE 115
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City | SIOUX FALLS
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State | SD
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Zip | 57108-3145
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Country | US
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Telephone | 605-275-3773
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Fax | 605-275-3780
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. DANE STEFFEN
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Credential | DDS
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Telephone | 605-321-8943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | D0640
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License Number State | SD
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