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General NPI Number Information
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NPI Number | 1699065938
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Entity Type | Organization
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Legal Business Name | EDWARD SZTEINBAUM,MD,LLC
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 330 N HARRISON ST SUITE 1
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City | PRINCETON
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State | NJ
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Zip | 08540-3524
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Country | US
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Telephone | 609-921-3666
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Fax |
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Provider Business Mailing Address
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Address Line | 330 N HARRISON ST SUITE 1
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City | PRINCETON
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State | NJ
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Zip | 08540-3524
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Country | US
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Telephone | 609-921-3666
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. EDWARD SZTEINBAUM
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Credential | M.D.
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Telephone | 609-921-3666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 25MA5891000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA5891000
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License Number State | NJ
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