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General NPI Number Information
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NPI Number | 1841234390
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Entity Type | Individual
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Provider Name | MICHAEL DEAN STAMM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 1120 GROVE RD
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City | GREENVILLE
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State | SC
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Zip | 29605-4656
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Country | US
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Telephone | 864-455-8897
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Fax | 864-455-8555
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Provider Business Mailing Address
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Address Line | 1 INDEPENDENCE PT STE 212
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City | GREENVILLE
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State | SC
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Zip | 29615-4536
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Country | US
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Telephone | 864-797-6308
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 11555
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License Number State | SC
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