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General NPI Number Information
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NPI Number | 1427449594
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Entity Type | Organization
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Legal Business Name | STEPHEN B. ROTHSTEIN,O.D.
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 7900 W MCNAB RD
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4303
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Country | US
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Telephone | 954-722-9151
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Fax | 954-597-7222
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Provider Business Mailing Address
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Address Line | 7900 W MCNAB RD
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4303
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Country | US
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Telephone | 954-722-9151
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Fax | 954-597-7222
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. STEPHEN B ROTHSTEIN
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Credential | O.D.
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Telephone | 954-722-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC001180
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License Number State | FL
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