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General NPI Number Information
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NPI Number | 1134137912
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Entity Type | Individual
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Provider Name | THOMAS M STUBBS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 2 MEDICAL PARK ROAD SUITE 106
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City | COLUMBIA
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State | SC
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Zip | 29203-6839
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Country | US
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Telephone | 803-545-5700
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Fax | 803-434-4699
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Provider Business Mailing Address
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Address Line | 2 MEDICAL PARK ROAD SUITE 208
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City | COLUMBIA
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State | SC
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Zip | 29203-6839
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Country | US
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Telephone | 803-545-5700
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Fax | 803-434-4699
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 39490
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 000039490
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 11316
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 11316
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License Number State | SC
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