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General NPI Number Information
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NPI Number | 1922247618
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Entity Type | Organization
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Legal Business Name | STEPHANIE DEL CARMEN DDS
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 19260 STEVENS CREEK BLVD
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City | CUPERTINO
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State | CA
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Zip | 95014-2504
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Country | US
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Telephone | 408-243-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1682 YALE DR
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040
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Country | US
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Telephone | 650-417-5375
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | STEPHANIE DEL CARMEN
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Credential | DDS, MS
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Telephone | 650-417-5375
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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 | 38415
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License Number State | CA
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