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General NPI Number Information
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NPI Number | 1184766248
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Entity Type | Individual
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Provider Name | DAVID ROBERT STEIN DC
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2900 GOLF RD
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City | PEWAUKEE
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State | WI
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Zip | 53072-5449
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Country | US
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Telephone | 262-695-4299
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Fax | 262-695-4299
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Provider Business Mailing Address
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Address Line | W263 N2857 COACHMAN DRIVE
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City | PEWAUKEE
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State | WI
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Zip | 53072
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Country | US
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Telephone | 262-695-4299
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Fax | 262-695-4299
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3083-012
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License Number State | WI
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