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General NPI Number Information
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NPI Number | 1578641783
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Entity Type | Individual
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Provider Name | KATIE NICOLE STERN DDS
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30140 TOWN CENTER DRIVE
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677
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Country | US
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Telephone | 949-249-4180
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Fax | 949-249-4185
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Provider Business Mailing Address
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Address Line | 8 GOLDEN EAGLE COURT
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City | ALISO VIEJO
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State | CA
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Zip | 92656
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Country | US
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Telephone | 949-588-0848
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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 | 48643
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License Number State | CA
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