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General NPI Number Information
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NPI Number | 1437120672
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Entity Type | Individual
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Provider Name | STUART G. TAUBERG M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 1050 OLD CAMP RD STE 270
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City | THE VILLAGES
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State | FL
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Zip | 32162-1762
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Country | US
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Telephone | 352-633-1966
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Fax | 352-633-1969
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Provider Business Mailing Address
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Address Line | 21 YOST BLVD FOREST HILLS PLAZA, SUITE 216
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City | PITTSBURGH
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State | PA
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Zip | 15221-5283
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Country | US
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Telephone | 412-823-3113
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Fax | 412-824-8634
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0073842
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License Number State | FL
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