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General NPI Number Information
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NPI Number | 1871901397
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Entity Type | Individual
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Provider Name | MARTIN F. STEIN M. D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 145 DEER MEADOW LN
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City | PORTOLA VALLEY
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State | CA
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Zip | 94028-7608
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Country | US
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Telephone | 650-529-1786
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Fax | 650-529-1786
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Provider Business Mailing Address
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Address Line | PO BOX 7581
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City | MENLO PARK
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State | CA
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Zip | 94026-7581
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Country | US
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Telephone | 650-529-1786
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Fax | 650-529-1786
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | C26329
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License Number State | CA
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