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General NPI Number Information
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NPI Number | 1407968514
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Entity Type | Individual
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Provider Name | JAMES G STINNEFORD MD
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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 | 09/29/2011
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Provider Practice Location Address
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Address Line | 745 FLETCHER DR STE 202
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City | ELGIN
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State | IL
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Zip | 60123
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Country | US
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Telephone | 847-888-1300
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Fax | 847-888-1341
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Provider Business Mailing Address
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Address Line | 745 FLETCHER DR STE 202
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City | ELGIN
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State | IL
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Zip | 60123
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Country | US
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Telephone | 847-888-1300
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Fax | 847-888-1341
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036073851
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License Number State | IL
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