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General NPI Number Information
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NPI Number | 1497715205
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Entity Type | Individual
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Provider Name | DANIEL STAHL D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 201 CONRAD HARCOURT WAY STE A
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City | RUSHVILLE
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State | IN
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Zip | 46173-1157
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Country | US
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Telephone | 765-932-7591
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Fax | 765-932-7576
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Provider Business Mailing Address
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Address Line | 1300 N MAIN ST
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City | RUSHVILLE
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State | IN
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Zip | 46173-1198
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Country | US
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Telephone | 765-932-4111
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Fax | 765-932-7505
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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 | IN02001999
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License Number State | IN
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