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General NPI Number Information
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NPI Number | 1023102951
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Entity Type | Individual
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Provider Name | STEPHEN STEINER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 2835 N SHEFFIELD AVE STE 303
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City | CHICAGO
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State | IL
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Zip | 60657-5084
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Country | US
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Telephone | 773-368-3164
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Fax | 312-327-4452
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Provider Business Mailing Address
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Address Line | 4646 N MARINE DR SUITE 5100
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City | CHICAGO
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State | IL
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Zip | 60640-5759
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Country | US
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Telephone | 773-334-7581
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Fax | 773-334-0014
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 36084986
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License Number State | IL
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