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General NPI Number Information
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NPI Number | 1518971340
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Entity Type | Individual
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Provider Name | JAMES B STIEHL MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/07/2024
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Provider Practice Location Address
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Address Line | 4573 CJ HECK RD
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City | SALEM
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State | IL
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Zip | 62881-3725
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Country | US
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Telephone | 618-780-5378
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Fax |
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Provider Business Mailing Address
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Address Line | 4573 CJ HECK RD
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City | SALEM
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State | IL
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Zip | 62881-3725
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Country | US
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Telephone | 618-780-5378
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Fax |
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 3652939
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 28442
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License Number State | WI
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