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General NPI Number Information
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NPI Number | 1518418193
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Entity Type | Organization
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Legal Business Name | STAHL WELLNESS SCREENING, P.C.
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 653 N TOWN CENTER DR #400
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City | LAS VEGAS
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State | NV
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Zip | 89144-0514
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Country | US
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Telephone | 702-765-5793
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Fax | 702-254-0013
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Provider Business Mailing Address
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Address Line | 653 N TOWN CENTER DR #400
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City | LAS VEGAS
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State | NV
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Zip | 89144-0514
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Country | US
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Telephone | 702-765-5793
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Fax | 702-254-0013
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLAN STAHL
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Credential | MD
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Telephone | 702-765-5793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 6419
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License Number State | NV
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