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General NPI Number Information
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NPI Number | 1619989316
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Entity Type | Individual
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Provider Name | MARGARET A STULL M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 4401 WORNALL RD
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City | KANSAS CITY
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State | MO
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Zip | 64111-3220
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Country | US
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Telephone | 816-932-2549
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 504407
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City | SAINT LOUIS
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State | MO
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Zip | 63150-4407
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Country | US
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Telephone | 816-932-7947
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Fax | 816-932-7957
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036-084333
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | T01784
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2008005528
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0433050
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License Number State | KS
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