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NPI 1992828099

NPI 1992828099 : SHARON CAROL STEIN O.D. : WHARTON, NJ

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General NPI Number Information
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    NPI Number           |    1992828099
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    Entity Type          |    Individual 
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    Provider Name        |    SHARON CAROL STEIN O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    315 STATE HIGHWAY 15 NORTH 
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    City                 |    WHARTON
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    State                |    NJ
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    Zip                  |    07885
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    Country              |    US
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    Telephone            |    973-366-5977
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    48 MILLER AVE 
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    City                 |    ROCKAWAY
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    State                |    NJ
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    Zip                  |    07866-2217
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    Country              |    US
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    Telephone            |    973-627-2265
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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        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    OA04886
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    License Number State |    NJ
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