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General NPI Number Information
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NPI Number | 1770709164
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Entity Type | Organization
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Legal Business Name | G. WINSTON STUBBS M.D., LTD
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 8121 STENTON AVE # B
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City | PHILADELPHIA
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State | PA
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Zip | 19150-3530
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Country | US
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Telephone | 215-248-2660
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Fax | 215-248-5336
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Provider Business Mailing Address
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Address Line | 8121 STENTON AVE # B
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City | PHILADELPHIA
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State | PA
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Zip | 19150-3530
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Country | US
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Telephone | 215-248-2660
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Fax | 215-248-5336
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. G. WINSTON STUBBS
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Credential | M.D.
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Telephone | 215-248-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | MD016469E
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License Number State | PA
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