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General NPI Number Information
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NPI Number | 1760610273
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Entity Type | Individual
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Provider Name | STELLA MAI HUANG D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 100 HOSPITAL DR SUITE 200
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City | VALLEJO
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State | CA
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Zip | 94589-2580
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Country | US
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Telephone | 707-427-4900
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Fax | 707-551-3617
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Provider Business Mailing Address
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Address Line | 10470 OLD PLACERVILLE RD SUITE 100
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City | SACRAMENTO
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State | CA
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Zip | 95827-2539
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Country | US
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Telephone | 800-470-0071
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 125-056977
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A12718
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License Number State | CA
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