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General NPI Number Information
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NPI Number | 1609028711
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Entity Type | Organization
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Legal Business Name | DONNA LAURA STAHL, M.D., INC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 4750 E GALBRAITH RD SUITE 112
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City | CINCINNATI
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State | OH
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Zip | 45236-6705
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Country | US
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Telephone | 513-686-3109
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Fax | 513-686-5903
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Provider Business Mailing Address
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Address Line | 4750 E GALBRAITH RD SUITE 112
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City | CINCINNATI
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State | OH
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Zip | 45236-6705
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Country | US
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Telephone | 513-686-3109
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Fax | 513-686-5903
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONNA LAURA STAHL
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Credential | M.D.
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Telephone | 513-686-3109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 035743
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License Number State | OH
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