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General NPI Number Information
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NPI Number | 1255319422
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Entity Type | Individual
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Provider Name | DAVID B STAUB M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 3740 UTICA RIDGE RD STE A
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City | BETTENDORF
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State | IA
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Zip | 52722-1624
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Country | US
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Telephone | 563-359-4440
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Fax | 563-359-4644
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Provider Business Mailing Address
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Address Line | 3740 UTICA RIDGE RD STE A
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City | BETTENDORF
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State | IA
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Zip | 52722-1624
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Country | US
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Telephone | 563-359-4440
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Fax | 563-359-4644
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 27098
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 036079818
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD-27098
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License Number State | IA
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