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General NPI Number Information
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NPI Number | 1720129851
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Entity Type | Individual
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Provider Name | E. J. STEIN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 2004 W STATE HIGHWAY 29
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City | BURNET
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State | TX
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Zip | 78611-2353
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Country | US
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Telephone | 512-756-2966
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Fax | 512-756-7503
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Provider Business Mailing Address
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Address Line | PO BOX 868
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City | BURNET
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State | TX
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Zip | 78611-0868
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Country | US
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Telephone | 512-756-2966
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Fax | 512-756-7503
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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 | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 2913
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License Number State | TX
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