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General NPI Number Information
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NPI Number | 1326211988
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Entity Type | Organization
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Legal Business Name | STEPHEN L. STANFIELD
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Dates
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Enumeration Date | 04/03/2008
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 2406 HUNTER RD SUITE 102
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City | SAN MARCOS
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State | TX
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Zip | 78666-5255
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Country | US
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Telephone | 512-754-6161
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Fax | 512-754-6197
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Provider Business Mailing Address
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Address Line | 2406 HUNTER RD SUITE 102
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City | SAN MARCOS
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State | TX
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Zip | 78666-5255
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Country | US
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Telephone | 512-754-6161
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Fax | 512-754-6197
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. STEPHEN LEE STANFIELD
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Credential | O.D.
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Telephone | 512-754-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 3224TG
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License Number State | TX
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