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General NPI Number Information
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NPI Number | 1003847898
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Entity Type | Individual
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Provider Name | STEPHANIE ANJA TAFT MD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 218 E BLACKSTOCK RD
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City | SPARTANBURG
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State | SC
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Zip | 29301-2607
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Country | US
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Telephone | 864-576-8646
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749306
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City | ATLANTA
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State | GA
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Zip | 30374-9306
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 45310
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 200400781
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35086087
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 83711
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License Number State | SC
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