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General NPI Number Information
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NPI Number | 1235260407
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Entity Type | Individual
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Provider Name | ILYA STEIN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 10800 AVENIDA DEL RIO
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2444
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Country | US
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Telephone | 305-915-0567
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Fax | 561-431-2873
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Provider Business Mailing Address
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Address Line | 10800 AVENIDA DEL RIO
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2444
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Country | US
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Telephone | 305-915-0567
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Fax | 561-431-2873
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN14972
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License Number State | FL
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