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General NPI Number Information
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NPI Number | 1710150586
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Entity Type | Individual
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Provider Name | STANLEY JAMES BIGOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 13137 PAGE RD NW
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City | SILVERDALE
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State | WA
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Zip | 98383-9714
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Country | US
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Telephone | 206-323-9129
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 LA AMATISTA RD
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City | DEL MAR
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State | CA
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Zip | 92014-3033
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 00018323
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License Number State | WA
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