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General NPI Number Information
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NPI Number | 1053304550
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Entity Type | Individual
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Provider Name | HENRY J. STERN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 7305 N MILITARY TRL
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City | RIVIERA BEACH
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State | FL
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Zip | 33410-7417
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Country | US
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Telephone | 561-422-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 7305 N MILITARY TRL
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City | RIVIERA BEACH
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State | FL
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Zip | 33410-7417
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Country | US
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Telephone | 561-422-6770
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | ME 76291
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | ME 76291
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME 76291
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | ME 76291
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME 76291
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | ME 76291
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | ME 76291
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License Number State | FL
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