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General NPI Number Information
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NPI Number | 1851331102
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Entity Type | Organization
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Legal Business Name | DR L STEIN & ASSOC INC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 1650 S UNION AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-4349
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Country | US
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Telephone | 330-821-2020
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Fax | 330-823-2224
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Provider Business Mailing Address
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Address Line | 1650 S UNION AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-4349
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Country | US
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Telephone | 330-821-2020
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Fax | 330-823-2224
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN ALAN MANELLO
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Credential | O.D.
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Telephone | 330-821-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3036/T946
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3306/T610
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License Number State | OH
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