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General NPI Number Information
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NPI Number | 1598952160
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Entity Type | Individual
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Provider Name | JAY IVAN STERN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5804 BALTIMORE AVENUE
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City | HYATTSVILLE
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State | MD
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Zip | 20781
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Country | US
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Telephone | 301-927-7800
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Fax | 301-927-0375
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Provider Business Mailing Address
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Address Line | 5501 45TH AVENUE APT. #501
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City | HYATTSVILLE
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State | MD
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Zip | 20781
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Country | US
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Telephone | 410-608-1618
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Fax | 561-766-1210
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0034206
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License Number State | MD
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