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General NPI Number Information
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NPI Number | 1104018209
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Entity Type | Organization
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Legal Business Name | DAVID W. STEMLEY, O.D., INC.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 2540 EL CAMINO REAL STE B
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City | CARLSBAD
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State | CA
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Zip | 92008-1286
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Country | US
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Telephone | 760-729-9353
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Fax | 760-729-0583
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Provider Business Mailing Address
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Address Line | 2540 EL CAMINO REAL STE B
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City | CARLSBAD
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State | CA
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Zip | 92008-1286
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Country | US
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Telephone | 760-729-9353
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Fax | 760-729-0583
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID W STEMLEY
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Credential | O.D.
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Telephone | 760-729-9353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7067T
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License Number State | CA
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