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General NPI Number Information
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NPI Number | 1962833566
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Entity Type | Organization
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Legal Business Name | STEIN GROUP, INC
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Dates
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Enumeration Date | 12/06/2013
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Last Update Date | 12/06/2013
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Provider Practice Location Address
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Address Line | 3610 MILFORD MILL RD 3RD FLR
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City | BALTIMORE
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State | MD
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Zip | 21244-3330
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Country | US
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Telephone | 410-922-4910
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Fax | 410-922-4911
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Provider Business Mailing Address
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Address Line | PO BOX 32674
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City | BALTIMORE
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State | MD
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Zip | 21282-2674
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Country | US
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Telephone | 410-922-4910
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Fax | 410-922-4911
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Authorized Official
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Title or Position | CEO
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Name | DR. GLADSON NWANNA
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Credential | PHD
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Telephone | 410-419-9833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | R3508P
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License Number State | MD
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