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General NPI Number Information
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NPI Number | 1407631898
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Entity Type | Individual
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Provider Name | GILLIAN DALE STIERMAN OD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 5620 W THUNDERBIRD RD STE B1
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City | GLENDALE
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State | AZ
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Zip | 85306-4638
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Country | US
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Telephone | 602-547-2002
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Fax | 602-942-2667
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Provider Business Mailing Address
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Address Line | 2111 E HIGHLAND AVE STE B240
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City | PHOENIX
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State | AZ
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Zip | 85016-4741
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Country | US
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Telephone | 480-994-5012
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Fax | 480-990-7364
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT002740
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License Number State | AZ
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