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General NPI Number Information
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NPI Number | 1922008655
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Entity Type | Individual
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Provider Name | JOSEPH ALAN STAFFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11181 HEALTH PARK BLVD STE 1165
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City | NAPLES
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State | FL
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Zip | 34110-5734
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Country | US
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Telephone | 239-624-0320
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Fax | 239-624-0321
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Provider Business Mailing Address
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Address Line | 11181 HEALTH PARK BLVD SUITE 1165
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City | NAPLES
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State | FL
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Zip | 34110-8127
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Country | US
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Telephone | 239-624-0320
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Fax | 239-624-0321
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME90316
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License Number State | FL
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