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General NPI Number Information
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NPI Number | 1285212068
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Entity Type | Individual
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Provider Name | EMILY STEMEN
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 17722 N 79TH AVE APT 2008
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City | GLENDALE
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State | AZ
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Zip | 85308-8676
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Country | US
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Telephone | 830-388-0618
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BODIN CIR
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City | TRAVIS AFB
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State | CA
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Zip | 94535-1809
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Country | US
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Telephone | 707-423-7085
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 016.0134046
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License Number State | VT
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