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General NPI Number Information
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NPI Number | 1851867451
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Entity Type | Individual
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Provider Name | STEVIE AMES ROBERTS DMD
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 5726 LAKE WASHINGTON BLVD NE STE S2
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City | KIRKLAND
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State | WA
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Zip | 98033-7398
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Country | US
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Telephone | 215-939-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 RITTENHOUSE SQ
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5802
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS042002
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License Number State | PA
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