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General NPI Number Information
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NPI Number | 1356545412
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Entity Type | Organization
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Legal Business Name | JEAN A. BLUESTEIN, M.D., P.A.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 7950 FLOYD CURL DR SUITE 1009
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3919
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Country | US
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Telephone | 210-615-6600
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Fax | 210-615-7676
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Provider Business Mailing Address
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Address Line | 7950 FLOYD CURL DR SUITE 1009
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3919
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Country | US
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Telephone | 210-615-6600
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Fax | 210-615-7676
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Authorized Official
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Title or Position | OWNER
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Name | JEAN A BLUESTEIN
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Credential | M.D.
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Telephone | 210-615-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G8009
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License Number State | TX
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