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General NPI Number Information
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NPI Number | 1336250802
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Entity Type | Organization
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Legal Business Name | STEVEN D. WEST DDS PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 10004 KENNERLY RD SUITE 240
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2141
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Country | US
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Telephone | 314-849-3234
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Fax | 314-849-3241
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Provider Business Mailing Address
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Address Line | 10004 KENNERLY RD STE 240 240
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City | SAINT LOUIS
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State | MO
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Zip | 63128-2141
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Country | US
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Telephone | 314-849-3234
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Fax | 314-849-3241
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Authorized Official
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Title or Position | PRESIDENT/ DENTIST
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Name | DR. STEVEN DAVIS WEST
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Credential | D.D.S.
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Telephone | 314-849-3234
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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 | 011279
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 014385
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License Number State | MO
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