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General NPI Number Information
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NPI Number | 1740236165
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Entity Type | Organization
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Legal Business Name | CARMI Y STADLAN, M.D. P.A.
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 122A JFK DR
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City | LAKE WORTH
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State | FL
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Zip | 33462-6606
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Country | US
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Telephone | 561-969-3795
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Fax | 561-969-3771
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Provider Business Mailing Address
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Address Line | 122A JFK DR
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City | LAKE WORTH
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State | FL
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Zip | 33462-6606
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Country | US
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Telephone | 561-969-3795
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Fax | 561-969-3771
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARMI Y STADLAN
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Credential | MD
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Telephone | 561-969-3795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | ME69654
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License Number State | FL
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