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NPI 1225145089

NPI 1225145089 : DAVEY B STALLINGS MD : RURAL HALL, NC

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General NPI Number Information
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    NPI Number           |    1225145089
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    Entity Type          |    Individual 
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    Provider Name        |    DAVEY B STALLINGS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/25/2006
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    Last Update Date     |    11/05/2012
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Provider Practice Location Address
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    Address Line         |    110 E. WALL ST 
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    City                 |    RURAL HALL
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    State                |    NC
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    Zip                  |    27045
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    Country              |    US
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    Telephone            |    336-659-9440
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    Fax                  |    336-659-9845
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Provider Business Mailing Address
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    Address Line         |    110 EAST WALL ST 
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    City                 |    RURAL HALL
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    State                |    NC
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    Zip                  |    27045
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    Country              |    US
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    Telephone            |    336-659-9440
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    Fax                  |    336-659-9845
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    10936
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    License Number State |    NC
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