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General NPI Number Information
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NPI Number | 1649400391
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Entity Type | Organization
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Legal Business Name | BENJAMIN ADAM STAHL M.D. P.A.
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 112 HERFF RD STE 110
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City | BOERNE
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State | TX
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Zip | 78006-2751
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Country | US
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Telephone | 830-331-8585
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Fax | 830-331-8586
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Provider Business Mailing Address
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Address Line | 112 HERFF RD STE 110
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City | BOERNE
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State | TX
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Zip | 78006-2751
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Country | US
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Telephone | 830-331-8585
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Fax | 830-331-8586
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN ADAM STAHL
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Credential | M.D.
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Telephone | 830-331-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N1905
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License Number State | TX
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