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General NPI Number Information
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NPI Number | 1447477385
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Entity Type | Individual
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Provider Name | GARY EDWARD STAPLETON MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 6651 MAIN ST STE E1920
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City | HOUSTON
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State | TX
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Zip | 77030-2428
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Country | US
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Telephone | 832-824-1000
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Fax | 832-826-4297
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Provider Business Mailing Address
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Address Line | 6651 MAIN ST STE E1920
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City | HOUSTON
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State | TX
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Zip | 77030-2428
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Country | US
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Telephone | 832-824-1000
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Fax | 832-826-4297
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | ME98491
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License Number State | FL
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