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General NPI Number Information
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NPI Number | 1649582636
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Entity Type | Individual
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Provider Name | STEVEN THOMAS DANIELS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 115 W TRYON ST
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2551
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Country | US
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Telephone | 919-732-8213
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Fax |
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Provider Business Mailing Address
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Address Line | 241 ST MARYS RD
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2521
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Country | US
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Telephone | 919-732-7777
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8970
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License Number State | NC
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