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General NPI Number Information
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NPI Number | 1467518431
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Entity Type | Organization
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Legal Business Name | ELIZABETH STAHL, DPM
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 700 TAPPAN AVE
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City | ANN ARBOR
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State | MI
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Zip | 48104-3027
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Country | US
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Telephone | 734-214-1278
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Fax |
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Provider Business Mailing Address
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Address Line | 700 TAPPAN AVE
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City | ANN ARBOR
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State | MI
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Zip | 48104-3027
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Country | US
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Telephone | 734-214-1278
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ELIZABETH STAHL
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Credential | DPM
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Telephone | 734-214-1278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | ES001916
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License Number State | MI
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