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NPI 1073626024

NPI 1073626024 : DREW A STEIN M.D. : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1073626024
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    Entity Type          |    Individual 
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    Provider Name        |    DREW A STEIN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/16/2006
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    Last Update Date     |    12/06/2024
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Provider Practice Location Address
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    Address Line         |    6853 SW 18TH ST STE M111 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-7056
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    Country              |    US
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    Telephone            |    561-617-7996
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    Fax                  |    561-228-0318
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Provider Business Mailing Address
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    Address Line         |    9835 LAKE WORTH RD STE 16-147 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33467-2300
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    Country              |    US
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    Telephone            |    561-617-7996
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    Fax                  |    561-228-0318
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    ME152120
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    ME152120
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    License Number State |    FL
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