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General NPI Number Information
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NPI Number | 1548057144
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Entity Type | Organization
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Legal Business Name | COREY STAHLEY, DDS, PLLC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 9822 FRY RD STE 120
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City | CYPRESS
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State | TX
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Zip | 77433-5371
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Country | US
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Telephone | 713-992-2975
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Fax |
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Provider Business Mailing Address
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Address Line | 4319 HOOD PARK DR
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City | ROUND ROCK
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State | TX
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Zip | 78681-2192
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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 | OWNER
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Name | DR. COREY STAHLEY
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Credential | DDS
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Telephone | 713-992-2975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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