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General NPI Number Information
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NPI Number | 1518567601
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Entity Type | Individual
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Provider Name | TIMOTHY STEFFEN DAHL PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 501 SALT WEDGE DR UNIT 5301
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City | CHARLESTON
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State | SC
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Zip | 29492-9025
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Country | US
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Telephone | 347-964-3084
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SALT WEDGE DR UNIT 5301
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City | CHARLESTON
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State | SC
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Zip | 29492-9025
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Country | US
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Telephone | 347-964-3084
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA101814
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00588500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00588500
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License Number State | NJ
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