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General NPI Number Information
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NPI Number | 1205024353
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Entity Type | Organization
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Legal Business Name | W ALLEN STOLER DPM PC
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 30335 W 13 MILE RD SUITE 106
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2262
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Country | US
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Telephone | 248-626-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 30335 W 13 MILE RD SUITE 106
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2262
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Country | US
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Telephone | 248-626-5830
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | WILLIAM ALLEN STOLER
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Credential | DPM
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Telephone | 248-626-5830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 5901000456
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License Number State | MI
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