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NPI 1225911738

NPI 1225911738 : ERIK STAPLETON DO PC : PRINCETON, WV

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General NPI Number Information
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    NPI Number           |    1225911738
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERIK STAPLETON DO PC 
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Dates
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    Enumeration Date     |    07/30/2025
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    311 COURTHOUSE RD 
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    City                 |    PRINCETON
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    State                |    WV
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    Zip                  |    24740-2421
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    Country              |    US
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    Telephone            |    304-487-2297
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    Fax                  |    304-487-2297
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Provider Business Mailing Address
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    Address Line         |    311 COURTHOUSE RD 
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    City                 |    PRINCETON
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    State                |    WV
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    Zip                  |    24740-2421
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    Country              |    US
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    Telephone            |    304-487-2297
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    Fax                  |    304-487-2297
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Authorized Official
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    Title or Position    |    CREDENTIALING /BILLING SPECIALIST
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    Name                 |     TAMMY  PENTASUGLIA 
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    Credential           |    
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    Telephone            |    304-431-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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