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General NPI Number Information
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NPI Number | 1194831479
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Entity Type | Individual
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Provider Name | MARK B NORSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 1100 62ND AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33705-5620
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Country | US
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Telephone | 727-866-3166
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Fax | 727-864-4043
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Provider Business Mailing Address
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Address Line | 10051 5TH STREET NORTH #200
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City | ST. PETERSBURG
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State | FL
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Zip | 33705-5620
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Country | US
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Telephone | 727-824-0780
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Fax | 727-568-6011
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0034232
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License Number State | FL
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