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General NPI Number Information
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NPI Number | 1003080318
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Entity Type | Individual
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Provider Name | MICHAEL S STAGLIANO ARNP
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Gender | Male
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 10 CENTER DR BLDG 10
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City | BETHESDA
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State | MD
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Zip | 20892-3132
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Country | US
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Telephone | 240-507-0883
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Fax | 301-480-5598
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Provider Business Mailing Address
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Address Line | 12509 HIALEAH WAY
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City | NORTH POTOMAC
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State | MD
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Zip | 20878-3784
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Country | US
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Telephone | 650-690-0991
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R211100
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License Number State | MD
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