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General NPI Number Information
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NPI Number | 1205947306
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Entity Type | Individual
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Provider Name | STANLEY R. RESOR JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 22 N STANWICH RD
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City | GREENWICH
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State | CT
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Zip | 06831-2841
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Country | US
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Telephone | 212-305-5459
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Fax | 212-305-7029
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Provider Business Mailing Address
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Address Line | 159 W PUTNAM AVE
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City | GREENWICH
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State | CT
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Zip | 06830-5329
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Country | US
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Telephone | 203-987-3117
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Fax | 203-961-6998
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 120140-1
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License Number State | NY
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