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General NPI Number Information
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NPI Number | 1073576328
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Entity Type | Individual
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Provider Name | JOHN EDWARD STABEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 2109 FOREST AVE SUITE 20
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City | CHICO
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State | CA
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Zip | 95928-7680
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Country | US
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Telephone | 530-892-4815
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Fax | 530-892-4816
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Provider Business Mailing Address
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Address Line | 2109 FOREST AVE SUITE 20
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City | CHICO
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State | CA
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Zip | 95928-7680
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Country | US
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Telephone | 530-892-4815
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Fax | 530-892-4816
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G85443
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License Number State | CA
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