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General NPI Number Information
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NPI Number | 1144992785
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Entity Type | Organization
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Legal Business Name | STEIN MEDICAL GROUP PC
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 7395 S PECOS RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89120-3714
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Country | US
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Telephone | 702-847-6555
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Fax | 702-847-6428
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Provider Business Mailing Address
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Address Line | 7204 SHORELINE DR UNIT 160
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City | SAN DIEGO
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State | CA
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Zip | 92122-4928
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Country | US
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Telephone | 858-774-7287
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Fax | 702-847-6428
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Authorized Official
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Title or Position | OFFICE MANAGER/ADMINISTRATOR
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Name | MIJA SUNG
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Credential |
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Telephone | 858-774-7287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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