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General NPI Number Information
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NPI Number | 1225016827
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Entity Type | Individual
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Provider Name | GLENN E STEIN OD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 5811 CO. RT. 32
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City | NORWICH
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State | NY
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Zip | 13815
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Country | US
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Telephone | 607-336-2020
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Fax | 607-336-1003
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Provider Business Mailing Address
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Address Line | 115 SERENITY DR
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City | NORWICH
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State | NY
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Zip | 13815-3169
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Country | US
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Telephone |
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV-005032
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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