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General NPI Number Information
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NPI Number | 1699067025
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Entity Type | Individual
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Provider Name | MARY LYNETTE STEIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 725 WELCH RD
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City | PALO ALTO
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State | CA
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Zip | 94304-1601
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Country | US
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Telephone | 650-497-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 LONGWOOD AVENUE
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City | BOSTON
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State | MA
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Zip | 02115-0000
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Country | US
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Telephone | 650-269-9450
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 266827
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License Number State | MA
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