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General NPI Number Information
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NPI Number | 1508054602
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Entity Type | Individual
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Provider Name | RONALD WILLIAM STAHL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1801 GLENDALE DR SW
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City | WILSON
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State | NC
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Zip | 27893-4499
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Country | US
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Telephone | 252-237-3141
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Fax | 252-237-3141
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Provider Business Mailing Address
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Address Line | 1801 GLENDALE DR SW
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City | WILSON
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State | NC
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Zip | 27893-4401
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Country | US
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Telephone | 252-237-3141
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Fax | 252-237-3141
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2016-01719
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License Number State | NC
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