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General NPI Number Information
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NPI Number | 1770590648
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Entity Type | Individual
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Provider Name | MERYL Y STEIN MD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 525 ROUTE 73 SOUTH EVESHAM COMMONS - SUITE 104A
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City | MARLTON
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State | NJ
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Zip | 08053-9643
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Country | US
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Telephone | 856-794-9777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22462
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City | PHILADELPHIA
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State | PA
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Zip | 19110-2462
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Country | US
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Telephone | 856-874-9777
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 25MA07692000
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License Number State | NJ
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