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General NPI Number Information
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NPI Number | 1851610489
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Entity Type | Organization
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Legal Business Name | ELLIOTT A STEIN MD PA
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 21110 BISCAYNE BLVD STE 404
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City | AVENTURA
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State | FL
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Zip | 33180-1252
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Country | US
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Telephone | 305-933-8966
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Fax | 305-933-9238
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Provider Business Mailing Address
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Address Line | 21110 BISCAYNE BLVD STE 404
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City | AVENTURA
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State | FL
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Zip | 33180-1252
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Country | US
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Telephone | 305-933-8966
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Fax | 305-933-9238
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELLIOTT A STEIN
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Credential | MD PA
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Telephone | 305-933-8966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 49870
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License Number State | FL
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