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General NPI Number Information
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NPI Number | 1396722617
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Entity Type | Individual
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Provider Name | STEVEN CHARLES GUY DDS
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1131 COMMERCE PARK DRIVE E WATERTOWN DENTAL HEALTH GROUP
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City | WATERTOWN
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State | NY
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Zip | 13601
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Country | US
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Telephone | 315-788-1070
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Fax | 315-785-1039
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Provider Business Mailing Address
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Address Line | 205 ONEIDA STREET FULTON DENTAL HEALTH ASSO
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City | FULTON
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State | NY
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Zip | 13609
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Country | US
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Telephone | 315-598-3700
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Fax | 315-592-4760
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 044825
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 15589
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 8493
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License Number State | VA
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