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General NPI Number Information
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NPI Number | 1710294632
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Entity Type | Organization
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Legal Business Name | MITCHELL L. STEINBERG D.P.M., PC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 1212 ROUTE 25A
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City | STONY BROOK
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State | NY
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Zip | 11790-1919
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Country | US
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Telephone | 631-751-6665
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Fax | 631-751-6833
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Provider Business Mailing Address
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Address Line | 1212 ROUTE 25A
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City | STONY BROOK
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State | NY
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Zip | 11790-1919
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Country | US
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Telephone | 631-751-6665
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Fax | 631-751-6833
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. MITCHELL L STEINBERG
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Credential | DPM
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Telephone | 631-751-6665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 002518
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License Number State | NY
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