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General NPI Number Information
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NPI Number | 1215348859
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Entity Type | Individual
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Provider Name | ARTHUR JORDAN STANLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 840 KENNESAW AVE NW STE 7
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City | MARIETTA
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State | GA
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Zip | 30060-7928
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Country | US
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Telephone | 770-230-2020
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Fax | 770-230-2020
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Provider Business Mailing Address
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Address Line | 840 KENNESAW AVE NW STE 7
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City | MARIETTA
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State | GA
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Zip | 30060-7928
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Country | US
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Telephone | 205-533-0590
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Fax | 770-230-2020
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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 | 83395
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 83395
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 83395
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License Number State | GA
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