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General NPI Number Information
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NPI Number | 1346498722
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Entity Type | Individual
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Provider Name | CRAIG T. STEICHEN DDS
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Gender | Male
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 7131 PROSPECT PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4313
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Country | US
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Telephone | 505-883-6562
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Fax | 505-883-8634
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Provider Business Mailing Address
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Address Line | 7131 PROSPECT PL NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-4313
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Country | US
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Telephone | 505-883-6562
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Fax | 505-883-8634
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | DD1629
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1629
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License Number State | NM
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