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General NPI Number Information
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NPI Number | 1477787141
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Entity Type | Organization
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Legal Business Name | STEPHEN J. STUEHLING, D.M.D., PLLC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 703 34TH AVE
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City | SEATTLE
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State | WA
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Zip | 98122-5131
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Country | US
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Telephone | 206-251-7638
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Fax | 206-323-9107
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Provider Business Mailing Address
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Address Line | 703 34TH AVE
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City | SEATTLE
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State | WA
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Zip | 98122-5131
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Country | US
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Telephone | 206-251-7638
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Fax | 206-323-9107
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. STEPHEN JOHN STUEHLING
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Credential | D.M.D.
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Telephone | 206-251-7638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DE8476
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License Number State | WA
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