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General NPI Number Information
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NPI Number | 1356026652
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Entity Type | Organization
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Legal Business Name | STELLA AND ASSOCIATES PA
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 1235 US-70
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City | GARNER
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State | NC
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Zip | 27529-2549
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Country | US
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Telephone | 919-844-7140
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Fax | 919-845-6065
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Provider Business Mailing Address
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Address Line | 10931 STRICKLAND RD STE 101
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City | RALEIGH
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State | NC
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Zip | 27615-2085
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Country | US
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Telephone | 919-844-7140
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Fax | 919-845-6065
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL STELLA
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Credential | DDS, MS
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Telephone | 919-844-7140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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