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General NPI Number Information
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NPI Number | 1417290412
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Entity Type | Individual
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Provider Name | TAMMY ELAINE STALLINGS MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 2900 SE MOBERLY LN
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City | BENTONVILLE
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State | AR
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Zip | 72712
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Country | US
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Telephone | 479-273-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 SE MOBERLY LN
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City | BENTONVILLE
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State | AR
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Zip | 72712-3748
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Country | US
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Telephone | 479-273-1550
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E-10270
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E10270
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License Number State | AR
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