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General NPI Number Information
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NPI Number | 1548267511
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Entity Type | Individual
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Provider Name | SUSAN KAY STEIN DO
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Gender | Female
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 105 MARYS AVE
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City | KINGSTON
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State | NY
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Zip | 12401-5829
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Country | US
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Telephone | 845-338-2500
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Fax | 845-483-5000
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Provider Business Mailing Address
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Address Line | 19 BRADHURST AVE STE 3100N
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-909-9018
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Fax | 914-909-9028
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 29088
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 38070
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 8813
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4904017-1204
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 173913
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 6978A
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License Number State | WY
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Taxonomy #7
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 032-0000339
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License Number State | VT
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