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General NPI Number Information
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NPI Number | 1821800996
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Entity Type | Organization
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Legal Business Name | JORDAN C. STERN M.D.P.C
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 400 RENAISSANCE CTR STE 2600
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City | DETROIT
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State | MI
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Zip | 48243-1599
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Country | US
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Telephone | 212-683-0174
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Fax | 646-731-6880
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Provider Business Mailing Address
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Address Line | 15 BROAD ST APT 2414
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City | NEW YORK
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State | NY
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Zip | 10005-1989
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Country | US
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Telephone | 212-683-0174
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Fax | 646-731-6880
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORDAN C. STERN
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Credential |
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Telephone | 212-683-0174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number |
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License Number State |
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