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General NPI Number Information
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NPI Number | 1407268204
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Entity Type | Organization
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Legal Business Name | WILLIAM C STANBERY II, MD
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 424 BERYWOOD TRL NW
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City | CLEVELAND
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State | TN
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Zip | 37312-5251
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Country | US
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Telephone | 423-479-8981
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Fax | 423-472-5792
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Provider Business Mailing Address
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Address Line | 424 BERYWOOD TRL NW
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City | CLEVELAND
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State | TN
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Zip | 37312-5251
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Country | US
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Telephone | 423-479-8981
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Fax | 423-472-5792
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Authorized Official
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Title or Position | OFFICE ADMIN
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Name | ROSE STANBERY
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Credential |
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Telephone | 423-479-8981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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