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General NPI Number Information
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NPI Number | 1508847880
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Entity Type | Organization
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Legal Business Name | RALPH E STOLZ, LLC
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 1605 N CEDAR CREST BLVD SUITE 609
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City | ALLENTOWN
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State | PA
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Zip | 18104-2351
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Country | US
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Telephone | 610-433-7717
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Fax | 610-433-5660
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Provider Business Mailing Address
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Address Line | 10 BRASS CASTLE RD
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City | WASHINGTON
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State | NJ
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Zip | 07882-6309
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Country | US
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Telephone | 908-835-1910
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Fax | 908-835-1886
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RALPH STOLZ
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Credential | DO
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Telephone | 610-433-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | OS000711L
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License Number State | PA
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