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General NPI Number Information
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NPI Number | 1518462118
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Entity Type | Organization
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Legal Business Name | STEIN MEDICAL P.C.
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 8704 SANTA MONICA BLVD STE 300
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069
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Country | US
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Telephone | 424-382-1391
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Fax | 424-382-1066
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Provider Business Mailing Address
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Address Line | 8704 SANTA MONICA BLVD STE 300
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4548
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Country | US
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Telephone | 424-382-1391
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Fax | 424-382-1066
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTINE NGUYEN
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Credential | BA
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Telephone | 424-394-3696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 190021AP
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License Number State | CA
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