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General NPI Number Information
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NPI Number | 1609868108
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Entity Type | Individual
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Provider Name | ERIK CHRISTIAN STABELL MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1 PROFESSIONAL DR SUITE 220
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City | ALTON
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State | IL
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Zip | 62002-5068
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Country | US
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Telephone | 618-463-8610
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Fax | 618-463-8688
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Provider Business Mailing Address
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Address Line | 1 PROFESSIONAL DR SUITE 220
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City | ALTON
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State | IL
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Zip | 62002-5068
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Country | US
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Telephone | 618-463-8500
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Fax | 618-463-8688
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 036-069182
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | R6N20
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-069182
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License Number State | IL
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