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General NPI Number Information
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NPI Number | 1588869127
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Entity Type | Organization
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Legal Business Name | LISBETH STEEN DMD LLC
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3129 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-2364
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Country | US
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Telephone | 203-230-8787
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Fax | 203-230-9315
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Provider Business Mailing Address
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Address Line | 3129 WHITNEY AVE
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City | HAMDEN
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State | CT
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Zip | 06518-2364
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Country | US
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Telephone | 203-230-8787
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Fax | 203-230-9315
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Authorized Official
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Title or Position | MEMBER
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Name | DR. LISBETH STEEN-HACKETT
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Credential | DMD
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Telephone | 203-230-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 007399
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License Number State | CT
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