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General NPI Number Information
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NPI Number | 1881003671
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Entity Type | Organization
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Legal Business Name | DAVID E. STUBBS, DDS,P.C.
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 102 BOSTON POST RD
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City | ORANGE
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State | CT
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Zip | 06477-3233
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Country | US
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Telephone | 203-891-0656
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Fax | 203-891-0653
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Provider Business Mailing Address
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Address Line | 102 BOSTON POST RD
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City | ORANGE
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State | CT
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Zip | 06477-3233
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Country | US
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Telephone | 203-891-0656
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Fax | 203-891-0653
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. DAVID E. STUBBS
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Credential | DDS
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Telephone | 203-891-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10956
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License Number State | CT
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