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General NPI Number Information
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NPI Number | 1679538136
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Entity Type | Individual
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Provider Name | MARK STEVEN STEIN DDS
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 500 FRANKLIN STREET
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City | FREEPORT
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State | PA
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Zip | 16229-1218
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Country | US
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Telephone | 724-295-5118
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Fax | 724-295-5119
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Provider Business Mailing Address
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Address Line | PO BOX 147
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City | FREEPORT
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State | PA
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Zip | 16229
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Country | US
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Telephone | 724-295-5118
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Fax | 724-295-5119
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS024238L
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License Number State | PA
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