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General NPI Number Information
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NPI Number | 1538515176
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Entity Type | Individual
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Provider Name | ADAM STEIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 79 WAWECUS ST STE 104
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City | NORWICH
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State | CT
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Zip | 06360-2173
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Country | US
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Telephone | 844-482-7285
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Fax | 203-502-2615
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Provider Business Mailing Address
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Address Line | 6 RESEARCH DR STE 105
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City | SHELTON
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State | CT
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Zip | 06484-6228
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Country | US
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Telephone | 844-482-7285
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Fax | 203-502-2615
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD19347
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 74644
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License Number State | CT
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