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General NPI Number Information
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NPI Number | 1093768277
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Entity Type | Individual
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Provider Name | LYNN A STAGGS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 2401 W BELVEDERE AVE DEPT. OF REHAB. MEDICINE
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City | BALTIMORE
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State | MD
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Zip | 21215-5216
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Country | US
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Telephone | 410-601-6587
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Fax | 410-601-9939
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Provider Business Mailing Address
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Address Line | 2401 W BELVEDERE AVE DEPT. OF CREDENTIALING
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City | BALTIMORE
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State | MD
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Zip | 21215-5216
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Country | US
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Telephone | 410-601-5524
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Fax | 410-601-8946
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D0060070
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D0060070
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License Number State | MD
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