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General NPI Number Information
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NPI Number | 1184875007
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Entity Type | Organization
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Legal Business Name | LOUIS STERN MD PA
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 117 W UNDERWOOD ST SUITE A
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City | ORLANDO
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State | FL
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Zip | 32806-1137
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Country | US
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Telephone | 407-894-8994
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Fax | 407-843-8490
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Provider Business Mailing Address
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Address Line | 117 WEST UNDERWOOD STREET SUITE A
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-894-8994
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Fax | 407-843-8490
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LOUIS STERN
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Credential | MD
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Telephone | 407-843-8994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0043529
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License Number State | FL
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