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General NPI Number Information
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NPI Number | 1922498856
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Entity Type | Individual
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Provider Name | GARY EDWARD STOUGH DMD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 112 CLUB COURSE DR
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928-3130
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Country | US
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Telephone | 706-768-1893
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Fax |
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Provider Business Mailing Address
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Address Line | 112 CLUB COURSE DRIVE
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928
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Country | US
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Telephone | 706-768-1893
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN008968
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN008968
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License Number State | GA
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