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General NPI Number Information
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NPI Number | 1447211784
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Entity Type | Individual
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Provider Name | JEFFREY STERN
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 2001 DWIGHT WAY 2ND FLOOR
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City | BERKELEY
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State | CA
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Zip | 94704-2608
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Country | US
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Telephone | 510-204-5745
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Fax | 510-504-5749
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Provider Business Mailing Address
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Address Line | 2001 DWIGHT WAY 2ND FLOOR
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City | BERKELEY
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State | CA
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Zip | 94704-2608
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Country | US
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Telephone | 510-204-5745
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Fax | 510-204-5749
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | G41447
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License Number State | CA
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