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General NPI Number Information
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NPI Number | 1831318187
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Entity Type | Individual
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Provider Name | MICHAEL SCOTT STAMPER N.P.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 315 FLUKER ST
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City | THOMSON
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State | GA
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Zip | 30824-2108
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Country | US
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Telephone | 706-595-1090
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Fax | 706-595-6010
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Provider Business Mailing Address
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Address Line | 160 STONE MILL DR
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City | MARTINEZ
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State | GA
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Zip | 30907-1657
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Country | US
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Telephone | 706-860-7294
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN113457
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License Number State | GA
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