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General NPI Number Information
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NPI Number | 1528884665
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Entity Type | Organization
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Legal Business Name | STONEHAVEN MEDICAL PLLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 4519 N GARFIELD ST STE 1
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City | MIDLAND
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State | TX
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Zip | 79705-3400
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Country | US
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Telephone | 432-219-9200
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Fax | 432-218-7879
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Provider Business Mailing Address
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Address Line | 4519 N GARFIELD ST STE 1
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City | MIDLAND
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State | TX
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Zip | 79705-3400
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Country | US
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Telephone | 432-219-9200
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Fax | 432-218-7879
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. RICKEY W HAMBY JR.
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Credential | MD
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Telephone | 432-219-9200
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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 |
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License Number State |
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