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General NPI Number Information
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NPI Number | 1548144769
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Entity Type | Organization
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Legal Business Name | STGI HEALTH, LLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 122 CLINIC LANE
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City | YELLOWSTONE NATIONAL PARK
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State | WY
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Zip | 82190
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Country | US
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Telephone | 304-344-4965
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 S QUINCY ST STE 888
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City | ARLINGTON
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State | VA
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Zip | 22206-2233
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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 | PROJECT MANAGER
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Name | SUZANNE SUZANNE KANG
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Credential |
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Telephone | 703-578-6030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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