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General NPI Number Information
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NPI Number | 1902836984
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Entity Type | Individual
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Provider Name | MARIA LOUISE STAMP MD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 336 W US HIGHWAY 30 STEA
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City | VALPARAISO
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State | IN
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Zip | 46385-5345
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Country | US
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Telephone | 219-464-7430
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Fax | 219-464-8014
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Provider Business Mailing Address
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Address Line | 2022 KELLE DR
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City | CHESTERTON
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State | IN
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Zip | 46304-8708
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Country | US
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Telephone | 219-364-3616
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Fax | 219-364-3610
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M8681
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00043551
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01068785A
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License Number State | IN
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