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General NPI Number Information
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NPI Number | 1467669945
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Entity Type | Individual
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Provider Name | DR. RICHARD STESS
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | STS COMPANY, 655 REDWOOD HWY. SUITE 203
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City | MILL VALLEY
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State | CA
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Zip | 94941
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Country | US
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Telephone | 415-381-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 36 DUTCH VALLEY LN
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City | SAN ANSELMO
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State | CA
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Zip | 94960-1016
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Country | US
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Telephone | 415-456-7925
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E1339
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License Number State | CA
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