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General NPI Number Information
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NPI Number | 1467600114
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Entity Type | Organization
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Legal Business Name | STANLEY WEINSTEIN MD PA
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Dates
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Enumeration Date | 09/07/2008
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Last Update Date | 09/07/2008
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Provider Practice Location Address
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Address Line | 525 ROUTE 70 SUITE B12
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5847
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Country | US
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Telephone | 732-370-8880
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Fax | 732-370-4524
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Provider Business Mailing Address
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Address Line | 525 ROUTE 70 SUITE B12
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5847
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Country | US
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Telephone | 732-370-8880
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Fax | 732-370-4524
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Authorized Official
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Title or Position | OWNER
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Name | DR. STANLEY P WEINSTEIN
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Credential | M.D.
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Telephone | 732-370-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA34375
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License Number State | NJ
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