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General NPI Number Information
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NPI Number | 1225098882
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Entity Type | Individual
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Provider Name | GUY M STOFMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 1350 LOCUST ST SUITE G103
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City | PITTSBURGH
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State | PA
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Zip | 15219-4738
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Country | US
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Telephone | 412-232-5616
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Fax | 412-232-8340
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Provider Business Mailing Address
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Address Line | PO BOX 101836
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City | PITTSBURGH
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State | PA
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Zip | 15237-0836
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Country | US
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Telephone | 412-232-5616
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Fax | 412-232-8340
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD034789E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD034789E
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License Number State | PA
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