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General NPI Number Information
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NPI Number | 1245518729
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Entity Type | Organization
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Legal Business Name | MARIN RHEUMATOLOGY, INC.
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 599 SIR FRANCIS DRAKE BLVD SUITE 201
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City | GREENBRAE
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State | CA
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Zip | 94904-1712
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Country | US
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Telephone | 415-464-9604
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Fax | 415-464-0171
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Provider Business Mailing Address
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Address Line | 599 SIR FRANCIS DRAKE BLVD SUITE 201
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City | GREENBRAE
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State | CA
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Zip | 94904-1712
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Country | US
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Telephone | 415-464-9604
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Fax | 415-464-0171
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. PETER HAMILTON STEIN
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Credential | M.D.
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Telephone | 415-464-9604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A048620
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License Number State | CA
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