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General NPI Number Information
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NPI Number | 1811153141
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Entity Type | Organization
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Legal Business Name | ROBERT F STAUFFER, MD
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 425 E 5350 S STE 280
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City | SOUTH OGDEN
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State | UT
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Zip | 84405-6946
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Country | US
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Telephone | 801-475-0712
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Fax | 801-475-7139
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Provider Business Mailing Address
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Address Line | PO BOX 1512
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City | LAYTON
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State | UT
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Zip | 84041-6512
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Country | US
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Telephone | 801-593-9223
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Fax | 801-593-9626
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Authorized Official
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Title or Position | DOCTOR
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Name | ROBERT F STAUFFER
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Credential | M.D.
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Telephone | 801-475-0712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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