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General NPI Number Information
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NPI Number | 1689782716
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Entity Type | Organization
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Legal Business Name | DENNIS W STOLL DDS INC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 822 E HARRISON
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-428-4398
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Fax | 956-428-1868
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Provider Business Mailing Address
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Address Line | 822 E HARRISON
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-428-4398
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Fax | 956-428-1868
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | DENNIS W STOLL
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Credential | DDS
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Telephone | 956-428-4398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11539
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License Number State | TX
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