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General NPI Number Information
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NPI Number | 1497716179
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Entity Type | Individual
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Provider Name | JAMES V STONECIPHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 3841 SAGEBRIAR DRIVE
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City | BRYAN
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State | TX
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Zip | 77802-6107
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Country | US
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Telephone | 979-774-1377
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Fax | 979-774-6147
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Provider Business Mailing Address
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Address Line | PO BOX 10797
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City | COLLEGE STATION
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State | TX
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Zip | 77842-0797
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Country | US
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Telephone | 979-774-1377
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Fax | 979-774-6147
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | J0290
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J0290
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License Number State | TX
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