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General NPI Number Information
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NPI Number | 1528640091
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Entity Type | Individual
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Provider Name | JAY S STINSON DO
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Gender | Male
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Dates
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Enumeration Date | 04/24/2021
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1001 TOWSON AVE
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City | FORT SMITH
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State | AR
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Zip | 72901-4921
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Country | US
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Telephone | 479-441-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-6332
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-18226
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License Number State | AR
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