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General NPI Number Information
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NPI Number | 1700221884
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Entity Type | Individual
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Provider Name | STANLEY HESS RN
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Gender | Male
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 610 E DIAMOND AVE STE 300
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City | GAITHERSBURG
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State | MD
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Zip | 20877-5321
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Country | US
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Telephone | 240-790-3334
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Fax | 301-820-7479
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Provider Business Mailing Address
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Address Line | 25121 CHIMNEY HOUSE CT
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City | DAMASCUS
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State | MD
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Zip | 20872-2357
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Country | US
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Telephone | 301-253-0635
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | R197890
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License Number State | MD
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