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General NPI Number Information
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NPI Number | 1427708981
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Entity Type | Individual
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Provider Name | ELIZABETH JOY STAPPER PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 522 TIMBERDALE LN
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City | HOUSTON
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State | TX
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Zip | 77090-3063
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Country | US
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Telephone | 281-440-5006
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Fax | 281-719-5935
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Provider Business Mailing Address
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Address Line | 129 VISION PARK BLVD
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City | SHENANDOAH
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State | TX
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Zip | 77384-3023
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Country | US
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Telephone | 281-315-8130
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | PA15587
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15587
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA15587
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License Number State | TX
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