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General NPI Number Information
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NPI Number | 1912320458
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Entity Type | Organization
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Legal Business Name | STEVEN S. WEINSTEIN, M.D., P.C.
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 6815 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11367-1310
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Country | US
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Telephone | 718-520-8220
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Fax | 718-575-9851
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Provider Business Mailing Address
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Address Line | 6815 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11367-1310
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Country | US
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Telephone | 718-520-8220
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Fax | 718-575-9851
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN SAMUEL WEINSTEIN
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Credential | M.D.
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Telephone | 718-520-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 159455
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License Number State | NY
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