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General NPI Number Information
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NPI Number | 1477914893
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Entity Type | Individual
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Provider Name | EMILY STAPLES D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2016
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 6701 PETERS CREEK RD STE 110
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City | ROANOKE
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State | VA
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Zip | 24019-4060
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Country | US
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Telephone | 800-765-7130
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 PETERS CREEK RD STE 110
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City | ROANOKE
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State | VA
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Zip | 24019-4060
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Country | US
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Telephone | 800-765-7130
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.013055
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO.2157
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102206658
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License Number State | VA
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