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General NPI Number Information
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NPI Number | 1417988890
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Entity Type | Individual
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Provider Name | ROBERTA STELLMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 255 HWY 187
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City | HATCH
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State | NM
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Zip | 87937
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Country | US
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Telephone | 505-267-3088
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Fax | 505-267-4606
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | HATCH
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State | NM
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Zip | 87937-0370
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Country | US
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Telephone | 505-267-3088
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Fax | 505-267-4606
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 78-270
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License Number State | NM
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