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General NPI Number Information
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NPI Number | 1386767457
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Entity Type | Organization
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Legal Business Name | DANIEL T STEIN, M.D. A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 11160 WARNER AVE SUITE 311
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4008
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Country | US
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Telephone | 714-850-7300
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Fax | 714-850-7310
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Provider Business Mailing Address
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Address Line | 11160 WARNER AVE SUITE 311
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4008
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Country | US
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Telephone | 714-850-7300
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Fax | 714-850-7310
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL T STEIN
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Credential | M.D.
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Telephone | 714-850-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G53288
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License Number State | CA
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