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General NPI Number Information
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NPI Number | 1760627277
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Entity Type | Organization
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Legal Business Name | DK STEIN INC
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 18653 VENTURA BLVD SUITE 724
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City | TARZANA
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State | CA
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Zip | 91356-4103
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Country | US
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Telephone | 510-717-8895
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Fax |
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Provider Business Mailing Address
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Address Line | 18653 VENTURA BLVD SUITE 724
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City | TARZANA
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State | CA
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Zip | 91356-4103
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Country | US
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Telephone | 510-717-8895
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | JOE BROOKS
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Credential |
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Telephone | 510-717-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | CA
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