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General NPI Number Information
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NPI Number | 1568773257
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Entity Type | Individual
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Provider Name | STANLEY SAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 26745 US HIGHWAY 380 E STE 112
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City | AUBREY
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State | TX
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Zip | 76227-8338
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Country | US
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Telephone | 972-347-2777
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Fax | 972-347-2776
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Provider Business Mailing Address
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Address Line | 1512 TEASLEY LN
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City | DENTON
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State | TX
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Zip | 76205-7282
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Country | US
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Telephone | 940-442-5209
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Fax | 940-222-2720
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R8822
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License Number State | TX
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