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General NPI Number Information
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NPI Number | 1417002858
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Entity Type | Organization
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Legal Business Name | BAUMAN AND STOLERU MDPC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 4119 CONNECTICUT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20008-1155
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Country | US
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Telephone | 202-966-4008
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Fax | 202-328-0565
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Provider Business Mailing Address
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Address Line | 3553 16TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-3041
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Country | US
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Telephone | 202-387-8900
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Fax | 202-328-0565
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Authorized Official
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Title or Position | MANAGER
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Name | AMY LYNN ROSENSTADT
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Credential |
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Telephone | 202-387-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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