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NPI 1881802122

NPI 1881802122 : DAVID N. STEIN, O.D. AN OPTOMETIC CORPORATION : DOWNEY, CA

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General NPI Number Information
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    NPI Number           |    1881802122
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAVID N. STEIN, O.D. AN OPTOMETIC CORPORATION 
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Dates
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    Enumeration Date     |    05/18/2007
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    Last Update Date     |    02/16/2012
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Provider Practice Location Address
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    Address Line         |    8605 FIRESTONE BLVD 
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    City                 |    DOWNEY
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    State                |    CA
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    Zip                  |    90241-5242
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    Country              |    US
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    Telephone            |    562-869-1005
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    Fax                  |    562-861-5223
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Provider Business Mailing Address
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    Address Line         |    8605 FIRESTONE BLVD 
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    City                 |    DOWNEY
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    State                |    CA
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    Zip                  |    90241-5242
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    Country              |    US
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    Telephone            |    562-869-1005
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    Fax                  |    562-861-5223
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Authorized Official
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    Title or Position    |    OWNER/OPTOMENTRIST
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    Name                 |    DR. DAVID NATHAN STEIN 
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    Credential           |    O.D.
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    Telephone            |    562-869-1005
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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       |    8126T
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    License Number State |    CA
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