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General NPI Number Information
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NPI Number | 1619983806
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Entity Type | Individual
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Provider Name | BARRY JAY STEIN O D
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 6601 N DAVIS HWY STE 1-B
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City | PENSACOLA
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State | FL
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Zip | 32504-6210
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Country | US
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Telephone | 850-476-6100
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Fax | 850-471-1155
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Provider Business Mailing Address
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Address Line | 6601 N DAVIS HWY STE 1-B
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City | PENSACOLA
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State | FL
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Zip | 32504-6210
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Country | US
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Telephone | 850-476-6100
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Fax | 850-471-1155
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 2125
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License Number State | FL
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