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General NPI Number Information
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NPI Number | 1831329440
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Entity Type | Individual
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Provider Name | FREDERICK BOYD STAHLMAN II PT
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Gender | Male
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 5633 STRAND BLVD SUITE 310
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City | NAPLES
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State | FL
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Zip | 34110-7300
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Country | US
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Telephone | 239-398-3154
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Fax | 866-264-0604
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Provider Business Mailing Address
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Address Line | 8089 TAUREN CT
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City | NAPLES
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State | FL
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Zip | 34119-7718
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Country | US
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Telephone | 239-398-3154
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Fax | 866-264-0604
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT21158
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT01069
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT000322E
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License Number State | PA
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