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General NPI Number Information
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NPI Number | 1487879482
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Entity Type | Individual
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Provider Name | KATHLEEN RUTH STIRLING MD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1640 OLD PECOS TRL
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City | SANTA FE
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State | NM
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Zip | 87505-4776
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Country | US
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Telephone | 505-992-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 3 LAGUNA LN
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City | SANTA FE
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State | NM
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Zip | 87508-2242
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Country | US
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Telephone | 612-418-2638
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD2007-0024
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License Number State | NM
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