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General NPI Number Information
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NPI Number | 1144460502
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Entity Type | Organization
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Legal Business Name | E & J STEIN MD PC
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 9502 N 46TH ST
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City | PHOENIX
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State | AZ
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Zip | 85028-5201
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Country | US
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Telephone | 480-970-1640
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Fax | 480-970-1641
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Provider Business Mailing Address
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Address Line | 3370 N HAYDEN RD # 123-315
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6632
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Country | US
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Telephone | 480-970-1640
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Fax | 480-970-1641
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. JOHN M STEIN
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Credential | MD
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Telephone | 480-970-1640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 11573
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License Number State | AZ
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