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General NPI Number Information
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NPI Number | 1801267307
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Entity Type | Organization
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Legal Business Name | STEVE SHIVER DMD PC
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Dates
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Enumeration Date | 10/10/2015
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Last Update Date | 10/10/2015
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Provider Practice Location Address
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Address Line | 1709 PEPPERELL PKWY 1709 PEPPERELL PARKWAY
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City | OPELIKA
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State | AL
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Zip | 36801-5548
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Country | US
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Telephone | 334-745-3268
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Fax | 334-745-6360
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Provider Business Mailing Address
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Address Line | 1709 PEPPERELL PKWY 1709 PEPPERELL PARKWAY
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City | OPELIKA
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State | AL
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Zip | 36801-5548
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Country | US
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Telephone | 334-745-3268
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Fax | 334-745-6360
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVE SHIVER
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Credential | DMD
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Telephone | 334-745-3268
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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 | 3702
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License Number State | AL
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