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General NPI Number Information
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NPI Number | 1295619369
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Entity Type | Individual
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Provider Name | KATELYN STEPANEK DDS
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Gender | Female
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Dates
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Enumeration Date | 08/02/2025
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 3430 MARRON RD STE 300
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City | OCEANSIDE
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State | CA
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Zip | 92056-4674
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Country | US
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Telephone | 760-730-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 3280 BARNETT AVE APT 2165
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City | SAN DIEGO
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State | CA
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Zip | 92110-4292
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Country | US
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Telephone | 913-709-0073
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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 | 111752
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License Number State | CA
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