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General NPI Number Information
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NPI Number | 1083825590
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Entity Type | Individual
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Provider Name | STEPHEN ROSS MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 35 E 35TH ST 1M
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City | NEW YORK
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State | NY
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Zip | 10016-3823
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Country | US
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Telephone | 212-562-4097
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Fax | 212-263-8285
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Provider Business Mailing Address
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Address Line | 35 E 35TH ST 1M
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City | NEW YORK
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State | NY
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Zip | 10016-3823
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Country | US
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Telephone | 212-562-4097
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Fax | 212-562-2041
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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 | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 207755
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License Number State | NY
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