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General NPI Number Information
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NPI Number | 1518144732
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Entity Type | Individual
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Provider Name | RANDALL K. STINSON PA
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Gender | Male
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 1008 N 3RD AVE
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City | CHATSWORTH
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State | GA
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Zip | 30705-2118
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Country | US
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Telephone | 706-517-2273
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Fax | 706-517-2469
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Provider Business Mailing Address
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Address Line | PO BOX 540
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City | MORGANTON
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State | GA
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Zip | 30560-0540
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Country | US
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Telephone | 706-374-6898
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Fax | 706-374-5006
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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