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General NPI Number Information
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NPI Number | 1053457697
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Entity Type | Organization
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Legal Business Name | DR ROBERT STERN PA
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 1171 E LANDIS AVE
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City | VINELAND
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State | NJ
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Zip | 08360-4200
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Country | US
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Telephone | 856-691-7142
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Fax | 856-691-1498
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Provider Business Mailing Address
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Address Line | 1171 E LANDIS AVE
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City | VINELAND
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State | NJ
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Zip | 08360-4200
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Country | US
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Telephone | 856-691-7142
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Fax | 856-691-1498
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. ROBERT M STERN
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Credential | DMD
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Telephone | 856-691-7142
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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 | 16183
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License Number State | NJ
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