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General NPI Number Information
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NPI Number | 1639125362
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Entity Type | Organization
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Legal Business Name | JAMES W STAVOSKY DPM
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1800 SULLIVAN AVE SUITE 106
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City | DALY CITY
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State | CA
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Zip | 94015-2228
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Country | US
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Telephone | 650-755-3338
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Fax | 650-755-7892
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Provider Business Mailing Address
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Address Line | 1800 SULLIVAN AVE RM 106
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City | DALY CITY
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State | CA
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Zip | 94015-2227
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Country | US
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Telephone | 650-755-3338
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Fax | 650-755-7892
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES STAVOSKY
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Credential | DPM
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Telephone | 650-755-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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