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General NPI Number Information
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NPI Number | 1003015918
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Entity Type | Individual
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Provider Name | MICHAEL J STUMPF D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 20940 N. TATUM BLVD. STE #350
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City | PHOENIX
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State | AZ
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Zip | 85050
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Country | US
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Telephone | 844-436-7874
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Fax | 877-828-6834
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Provider Business Mailing Address
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Address Line | 29455 N. CAVE CREEK RD STE #118-451
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City | PHOENIX
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State | AZ
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Zip | 85331
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Country | US
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Telephone | 844-436-7874
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Fax | 877-828-6834
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS10828
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4658
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License Number State | AZ
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