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General NPI Number Information
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NPI Number | 1881724326
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Entity Type | Individual
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Provider Name | RICHARD IRWIN STEINBERG DMD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 117 COW HILL ROAD
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City | MYSTIC
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State | CT
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Zip | 06355
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Country | US
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Telephone | 860-536-9661
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Fax | 860-536-9662
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Provider Business Mailing Address
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Address Line | 117 COW HILL ROAD
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City | MYSTIC
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State | CT
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Zip | 06355
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Country | US
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Telephone | 860-536-9661
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Fax | 860-536-9662
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5167
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License Number State | CT
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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 | 1849
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License Number State | RI
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