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General NPI Number Information
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NPI Number | 1942638358
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Entity Type | Individual
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Provider Name | STEVEN SOKOLIK D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 1624 MORGAN ST
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City | KEOKUK
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State | IA
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Zip | 52632-3456
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Country | US
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Telephone | 319-524-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 MORGAN ST
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City | KEOKUK
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State | IA
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Zip | 52632-3456
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Country | US
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Telephone | 847-826-4080
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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 | DDS-09999
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.029656
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License Number State | IL
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