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General NPI Number Information
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NPI Number | 1487301230
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Entity Type | Organization
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Legal Business Name | STELLA MATTINA HEALTH INC
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 1135 N BISHOP AVE
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City | DALLAS
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State | TX
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Zip | 75208-4114
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Country | US
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Telephone | 214-942-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 N BISHOP AVE
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City | DALLAS
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State | TX
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Zip | 75208-4114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | EDUARDO SANTOS
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Credential |
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Telephone | 214-971-9808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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