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General NPI Number Information
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NPI Number | 1619170107
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Entity Type | Individual
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Provider Name | STEFFINI JUNG STALOS DO
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 5201 HARRY HINES BLVD HOUSE STAFF & GME
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City | DALLAS
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State | TX
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Zip | 75235-7708
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Country | US
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Telephone | 214-590-8058
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 HARRY HINES BLVD HOUSE STAFF & GME
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City | DALLAS
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State | TX
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Zip | 75235-7708
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Country | US
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Telephone | 214-590-8058
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Fax |
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 34C.000128
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | 34C.000128
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | M7651
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | M7651
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License Number State | TX
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