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General NPI Number Information
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NPI Number | 1932267119
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Entity Type | Organization
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Legal Business Name | STEIN OPTICIANS INC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 59 05 71ST AVENUE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-5655
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Country | US
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Telephone | 718-386-8900
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Fax | 718-386-8400
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Provider Business Mailing Address
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Address Line | 59 05 71ST AVENUE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-5655
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Country | US
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Telephone | 718-386-8900
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Fax | 718-386-8400
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN B STEIN
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Credential | OD
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Telephone | 718-386-8900
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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 | TUV003590
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License Number State | NY
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