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General NPI Number Information
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NPI Number | 1740374636
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Entity Type | Individual
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Provider Name | GINGER BATTLE STAGG DDS
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 103 ABNER JACKSON PKWY
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5163
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Country | US
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Telephone | 979-297-5437
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Fax | 979-299-6166
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Provider Business Mailing Address
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Address Line | 3606 DOGWOOD BLOSSOM CT
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City | PEARLAND
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State | TX
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Zip | 77581
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Country | US
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Telephone | 281-412-4511
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21439
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License Number State | TX
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