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General NPI Number Information
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NPI Number | 1053483065
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Entity Type | Individual
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Provider Name | ANDREA L STEIN MD
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 1301 - 20TH, SUITE 100
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City | SANTA MONICA
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State | CA
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Zip | 90404
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Country | US
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Telephone | 310-453-4600
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Fax | 855-437-9295
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Provider Business Mailing Address
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Address Line | 2118 WILSHIRE BLVD, #466
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City | SANTA MONICA
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State | CA
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Zip | 90403
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Country | US
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Telephone | 310-453-4600
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Fax | 855-437-9295
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G47801
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License Number State | CA
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