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General NPI Number Information
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NPI Number | 1396857553
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Entity Type | Individual
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Provider Name | PAUL MICHAEL STABILE DDS MS
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 321 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-856-9989
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Fax | 330-856-9854
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Provider Business Mailing Address
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Address Line | 321 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-856-9989
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Fax | 330-856-9854
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | PS20158
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License Number State | OH
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