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General NPI Number Information
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NPI Number | 1871864884
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Entity Type | Organization
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Legal Business Name | DR STEVEN B GOLDSTEIN DC PC
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 215 ATLANTIC AVE SUITE A
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City | LYNBROOK
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State | NY
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Zip | 11563-3567
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Country | US
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Telephone | 516-887-1001
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Fax | 516-887-1004
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Provider Business Mailing Address
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Address Line | 215 ATLANTIC AVE SUITE A
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City | LYNBROOK
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State | NY
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Zip | 11563-3567
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Country | US
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Telephone | 516-887-1001
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Fax | 516-887-1004
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN B GOLDSTEIN
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Credential |
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Telephone | 516-887-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X3915
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License Number State | NY
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