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General NPI Number Information
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NPI Number | 1508530411
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Entity Type | Individual
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Provider Name | MADDOX GRAY STAMPLEY DPT
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Gender | Male
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 115 OAKDALE DR UNIT 8
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-9080
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Country | US
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Telephone | 919-732-6600
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Fax | 919-732-2779
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Provider Business Mailing Address
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Address Line | 115 OAKDALE DR UNIT 8
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-9080
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Country | US
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Telephone | 919-896-7158
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Fax | 919-896-7208
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P20598
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License Number State | NC
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