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General NPI Number Information
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NPI Number | 1578290573
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Entity Type | Individual
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Provider Name | KEVIN ANDREW STEIN
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Gender | Male
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 955 N COURT ST
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City | MEDINA
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State | OH
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Zip | 44256-1501
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Country | US
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Telephone | 330-616-3900
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Fax | 330-975-8676
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Provider Business Mailing Address
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Address Line | 185 E 400 N APT 106
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City | SPANISH FORK
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State | UT
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Zip | 84660-1514
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Country | US
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Telephone | 843-472-8237
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50007906RX
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License Number State | OH
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