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General NPI Number Information
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NPI Number | 1265408702
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Entity Type | Individual
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Provider Name | STUART DAMORE MD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 910 E WHITESTONE BLVD
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City | CEDAR PARK
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State | TX
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Zip | 78613-9093
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Country | US
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Telephone | 512-260-6100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-724-8800
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G4105
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License Number State | TX
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