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General NPI Number Information
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NPI Number | 1447565775
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Entity Type | Individual
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Provider Name | JAMES ERIC STANFORD D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 22454 HWY 72 W SUITE 200
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City | ATHENS
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State | AL
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Zip | 35613
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Country | US
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Telephone | 256-233-2332
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Fax | 256-539-2666
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Provider Business Mailing Address
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Address Line | 927 FRANKLIN ST SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4306
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Country | US
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Telephone | 256-539-2728
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Fax | 256-539-2666
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | DO1414
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO1414
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License Number State | AL
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