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General NPI Number Information
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NPI Number | 1457342123
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Entity Type | Individual
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Provider Name | STEVEN R BODINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 915 PALMER RD
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City | BRONXVILLE
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State | NY
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Zip | 10708-3304
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Country | US
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Telephone | 914-793-6900
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Fax | 914-779-7810
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Provider Business Mailing Address
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Address Line | 915 PALMER RD
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City | BRONXVILLE
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State | NY
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Zip | 10708-3304
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Country | US
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Telephone | 914-793-6900
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Fax | 914-779-7810
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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 | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 142450-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 142450-1
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License Number State | NY
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