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General NPI Number Information
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NPI Number | 1497074926
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Entity Type | Organization
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Legal Business Name | STANFORD M. STEINBERG, M.D., P.C.
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 05/24/2010
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Provider Practice Location Address
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Address Line | 255 S 17TH ST SUITE 2301
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6231
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Country | US
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Telephone | 215-732-5494
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Fax |
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Provider Business Mailing Address
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Address Line | 255 S 17TH ST SUITE 2301
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6231
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Country | US
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Telephone | 215-732-5494
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STANFORD M. STEINBERG
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Credential | M.D.
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Telephone | 215-732-5494
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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 | 007025E
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License Number State | PA
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