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General NPI Number Information
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NPI Number | 1942203062
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Entity Type | Individual
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Provider Name | FRED STEINBERG MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 3848 FAU BLVD STE 200
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City | BOCA RATON
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State | FL
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Zip | 33431-6437
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Country | US
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Telephone | 561-362-9191
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Fax | 561-394-5674
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Provider Business Mailing Address
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Address Line | 2581 NW 59TH ST
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City | BOCA RATON
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State | FL
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Zip | 33496-2224
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Country | US
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Telephone |
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME566955
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License Number State | FL
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