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General NPI Number Information
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NPI Number | 1609060508
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Entity Type | Organization
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Legal Business Name | STEVEN C. GARHARDT, D.D.S., LTD.
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 3663 E SUNSET RD SUITE 505
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City | LAS VEGAS
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State | NV
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Zip | 89120-3218
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Country | US
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Telephone | 702-944-7000
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Fax | 702-944-7005
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Provider Business Mailing Address
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Address Line | 3663 E SUNSET RD SUITE 505
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City | LAS VEGAS
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State | NV
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Zip | 89120-3218
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Country | US
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Telephone | 702-944-7000
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Fax | 702-944-7005
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Authorized Official
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Title or Position | DENTIST
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Name | DR. STEVEN CHARLES GARHARDT
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Credential | D.D.S.
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Telephone | 702-944-7000
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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 |
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License Number State |
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