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General NPI Number Information
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NPI Number | 1265871131
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Entity Type | Individual
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Provider Name | DUSTIN ROSS STANLEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 2200 MEMORIAL DR
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City | FARRELL
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State | PA
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Zip | 16121-1357
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Country | US
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Telephone | 724-981-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 HAWKINS DR
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City | SEARCY
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State | AR
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Zip | 72143-4802
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Country | US
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Telephone | 501-278-8346
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Fax | 501-278-8395
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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 | 13518522-1204
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OT015216
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-12496
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License Number State | AR
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