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General NPI Number Information
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NPI Number | 1871542738
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Entity Type | Organization
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Legal Business Name | STEIN EYE CARE, INC.
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 906B MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6752
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Country | US
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Telephone | 850-301-2020
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Fax | 850-301-2023
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Provider Business Mailing Address
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Address Line | 906B MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6752
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Country | US
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Telephone | 850-301-2020
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Fax | 850-301-2023
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAREN S STEIN
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Credential | MD
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Telephone | 850-301-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME 55866
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License Number State | FL
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