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General NPI Number Information
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NPI Number | 1104944859
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Entity Type | Individual
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Provider Name | ROSLYN STAHL MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 178 E 71ST ST
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City | NEW YORK
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State | NY
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Zip | 10021-5131
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Country | US
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Telephone | 212-717-2200
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Fax | 212-717-7377
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Provider Business Mailing Address
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Address Line | 304 W 107TH ST APT 1B
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City | NEW YORK
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State | NY
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Zip | 10025-2717
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Country | US
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Telephone | 917-771-9508
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA08608600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 248819
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License Number State | NY
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