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General NPI Number Information
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NPI Number | 1063432243
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Entity Type | Individual
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Provider Name | ANDREA G STOLAR MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 1977 BUTLER BLVD SUITE E4.400
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City | HOUSTON
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State | TX
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Zip | 77030-4101
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Country | US
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Telephone | 713-798-4997
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Fax | 713-798-1479
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Provider Business Mailing Address
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Address Line | 1977 BUTLER BLVD SUITE E4.400
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City | HOUSTON
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State | TX
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Zip | 77030-4101
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Country | US
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Telephone | 713-798-4997
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Fax | 713-798-1479
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-083819
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | J0286
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License Number State | TX
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