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General NPI Number Information
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NPI Number | 1700163045
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Entity Type | Organization
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Legal Business Name | SEAN STILTNER, D.O.,LLC
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 121 FAIRWAY AVE
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City | PIKETON
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State | OH
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Zip | 45661-9123
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Country | US
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Telephone | 740-352-7733
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Fax |
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Provider Business Mailing Address
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Address Line | 715 W EMMITT AVE
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City | WAVERLY
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State | OH
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Zip | 45690-1015
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Country | US
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Telephone | 740-947-8000
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Fax | 740-947-8008
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SEAN DUANE STILTNER
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Credential | D.O.
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Telephone | 740-352-7733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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