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General NPI Number Information
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NPI Number | 1679761209
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Entity Type | Organization
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Legal Business Name | MARTIN STAUBER MD, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 16611 YORBA LINDA BLVD
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City | YORBA LINDA
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State | CA
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Zip | 92886-2046
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Country | US
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Telephone | 714-528-8670
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Fax |
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Provider Business Mailing Address
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Address Line | 16611 YORBA LINDA BLVD
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City | YORBA LINDA
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State | CA
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Zip | 92886-2046
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Country | US
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Telephone | 714-528-8670
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARTIN H STAUBER
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Credential | MD
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Telephone | 714-528-8670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G61573
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License Number State | CA
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