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General NPI Number Information
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NPI Number | 1104227024
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Entity Type | Organization
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Legal Business Name | HERBERT I STEIN MD A MEDICAL CORP
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 238 S MCCARTY DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3703
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Country | US
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Telephone | 310-277-1605
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Fax |
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Provider Business Mailing Address
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Address Line | 238 S MCCARTY DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3703
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Country | US
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Telephone | 310-277-1605
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. HERBERT I STEIN
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Credential | MD
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Telephone | 310-277-1605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A20202
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License Number State | CA
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