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General NPI Number Information
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NPI Number | 1679795140
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Entity Type | Individual
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Provider Name | STEVEN NERAD D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 1024 SERPENTINE LANE SUITE 107
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City | PLEASANTON
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State | CA
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Zip | 94566-5666
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Country | US
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Telephone | 925-846-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 SERPENTINE LN SUITE 107
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City | PLEASANTON
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State | CA
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Zip | 94566-4716
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Country | US
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Telephone | 925-846-3336
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DU032748
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DU032748
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License Number State | CA
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