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General NPI Number Information
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NPI Number | 1801359435
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Entity Type | Individual
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Provider Name | RONNIE RAY STOTTS
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Gender | Male
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 8000 ELDORADO PKWY STE A
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City | MCKINNEY
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State | TX
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Zip | 75070-4136
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Country | US
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Telephone | 469-742-9950
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Fax | 972-548-9005
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Provider Business Mailing Address
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Address Line | THE GW MEDICAL FACULTY ASSOCIATES 2150 PENNSYLVANIA AVE
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City | NW WASHINGTON
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State | DC
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Zip | 20037
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | U6587
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License Number State | TX
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