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General NPI Number Information
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NPI Number | 1255627501
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Entity Type | Individual
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Provider Name | STEVEN GREENSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 300 FRANK W BURR BLVD
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City | TEANECK
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State | NJ
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Zip | 07666
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Country | US
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Telephone | 201-883-0505
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Fax | 201-692-9646
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Provider Business Mailing Address
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Address Line | 300 FRANK W BURR BLVD
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City | TEANECK
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State | NJ
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Zip | 07666-6704
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Country | US
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Telephone | 18-883-0505
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Fax | 201-692-9646
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 000000000000
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 193400000X
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Taxonomy Name | Single Specialty Group
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License Number | 25MA09903400
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License Number State | NJ
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