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General NPI Number Information
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NPI Number | 1730858267
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Entity Type | Organization
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Legal Business Name | STEVEN DO DDS, PLLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 893 S. RAINDBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89145
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Country | US
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Telephone | 702-456-0038
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Fax | 702-856-0035
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Provider Business Mailing Address
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Address Line | 7145 N GRAND CANYON DR
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City | LAS VEGAS
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State | NV
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Zip | 89149-1333
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Country | US
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Telephone | 626-380-7616
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN DO
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Credential | DDS
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Telephone | 626-380-7616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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