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General NPI Number Information
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NPI Number | 1801723648
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Entity Type | Organization
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Legal Business Name | STONE BRIDGE MEDICAL INC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 4020 WOLF CREEK RD
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City | PACIFIC
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State | MO
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Zip | 63069-5247
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Country | US
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Telephone | 239-848-5159
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1719
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City | COLUMBIA
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State | MO
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Zip | 65205-1719
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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 | PRINCIPAL
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Name | MR. WILLIAM DOWELL
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Credential |
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Telephone | 239-848-5159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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