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General NPI Number Information
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NPI Number | 1477894517
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Entity Type | Individual
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Provider Name | STEPHEN FRANKLIN TETER D.D.S
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Gender | Male
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 161 SOUTH BRANCH STREET
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City | FRANKLIN
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State | WV
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Zip | 26807
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Country | US
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Telephone | 304-358-2522
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Fax |
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Provider Business Mailing Address
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Address Line | 1144 PETERSBURG PIKE
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City | FRANKLIN
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State | WV
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Zip | 26807-5631
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Country | US
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Telephone | 304-358-2112
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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 | 2619
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License Number State | WV
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