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General NPI Number Information
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NPI Number | 1780146555
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Entity Type | Individual
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Provider Name | ELEANOR SAROKIN STEIN MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 3344 CHAMBERS RD
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City | HORSEHEADS
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State | NY
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Zip | 14845-1403
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Country | US
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Telephone | 607-734-2264
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GUTHRIE SQ
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City | SAYRE
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State | PA
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Zip | 18840-1625
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Country | US
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Telephone | 570-887-5421
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD484722
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 328281
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License Number State | NY
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