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General NPI Number Information
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NPI Number | 1447554530
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Entity Type | Organization
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Legal Business Name | STEPHEN E STEINBERG MD PA
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 800 MEADOWS RD
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City | BOCA RATON
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State | FL
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Zip | 33486-2304
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Country | US
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Telephone | 561-955-6631
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Fax | 561-955-7258
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Provider Business Mailing Address
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Address Line | 1599 NW 9TH AVE SUITE 201
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City | BOCA RATON
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State | FL
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Zip | 33486-1310
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Country | US
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Telephone | 561-368-4997
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Fax | 561-362-0588
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | CAROLANN GUSHUE
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Credential |
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Telephone | 561-955-4116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME93782
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License Number State | FL
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