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NPI 1649320110

NPI 1649320110 : STEVE WECHSLER DMD : STAMFORD, CT

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General NPI Number Information
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    NPI Number           |    1649320110
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    Entity Type          |    Individual 
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    Provider Name        |    STEVE WECHSLER DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/10/2007
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    Last Update Date     |    01/19/2025
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Provider Practice Location Address
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    Address Line         |    1081 HOPE ST 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06907-1824
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    Country              |    US
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    Telephone            |    203-329-8444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    153 GREENRIDGE AVE. 
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    City                 |    WHITE PLAINS
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    State                |    NY
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    Zip                  |    10605
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    Country              |    US
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    Telephone            |    917-453-8825
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    Fax                  |    914-966-2159
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    009690
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    041082
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    License Number State |    NY
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