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General NPI Number Information
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NPI Number | 1487688420
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Entity Type | Individual
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Provider Name | CRAIG STERNBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 87B OMEGA DR
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City | NEWARK
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State | DE
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Zip | 19713-2065
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Country | US
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Telephone | 302-733-0980
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Fax | 302-733-7495
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Provider Business Mailing Address
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Address Line | 2600 GLASGOW AVE SUITE 105
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City | NEWARK
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State | DE
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Zip | 19702-4773
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Country | US
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Telephone | 302-832-3369
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Fax | 302-832-5854
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | C10002806
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License Number State | DE
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