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General NPI Number Information
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NPI Number | 1326250747
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Entity Type | Individual
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Provider Name | KATHRYN STAHL MD
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Gender | Female
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 110 S PACA ST 6TH FLOOR STE 200
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City | BALTIMORE
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State | MD
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Zip | 21201-1642
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Country | US
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Telephone | 215-456-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 9114 PROVIDENCE AVE
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City | SILVER SPRING
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State | MD
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Zip | 20901-4914
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Country | US
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Telephone | 215-917-6564
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MT189257
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0072750
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License Number State | MD
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