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General NPI Number Information
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NPI Number | 1215261292
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Entity Type | Organization
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Legal Business Name | DAVID M STAUFFER, DPM, PLLC
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 167 MOORE RD
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City | KING
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State | NC
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Zip | 27021-8770
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Country | US
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Telephone | 336-783-8231
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Fax | 336-983-0012
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Provider Business Mailing Address
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Address Line | PO BOX 717
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City | KING
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State | NC
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Zip | 27021-0717
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Country | US
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Telephone | 336-783-8231
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Fax | 336-983-0012
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID M STAUFFER
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Credential | DPM
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Telephone | 336-783-8231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 91
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License Number State | NC
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