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General NPI Number Information
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NPI Number | 1306915764
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Entity Type | Organization
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Legal Business Name | STEVEN P. BLEIWEISS MD, INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 2101 WATERMAN
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City | SAN BERNARDINO
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State | CA
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Zip | 92404
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Country | US
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Telephone | 909-881-4522
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 6015-0015
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City | CYPRESS
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State | CA
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Zip | 90630-0015
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Country | US
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Telephone | 714-236-4000
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Fax | 714-236-4006
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | STEVEN P BLEIWEISS
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Credential |
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Telephone | 909-881-6711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | G20642
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License Number State | CA
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