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General NPI Number Information
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NPI Number | 1790764462
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Entity Type | Individual
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Provider Name | STUART C KING MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 12 CEDAR COVE CT
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City | DAUFUSKIE ISLAND
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State | SC
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Zip | 29915-9043
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Country | US
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Telephone | 217-714-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 12 CEDAR COVE CT
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City | DAUFUSKIE ISLAND
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State | SC
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Zip | 29915-9043
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036-114407
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036-114407
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License Number State | IL
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