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NPI 1942255062

NPI 1942255062 : RONALD M STENGEL DO : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1942255062
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD M STENGEL DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    05/24/2011
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Provider Practice Location Address
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    Address Line         |    3100 E. FLETCHER AVE 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33613-4613
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    Country              |    US
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    Telephone            |    813-899-6220
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    Fax                  |    813-985-8006
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Provider Business Mailing Address
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    Address Line         |    PO BOX 23057 4TH FLOOR
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33623-3057
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    Country              |    US
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    Telephone            |    813-899-6220
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    Fax                  |    813-985-8006
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    4570
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    054570
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    License Number State |    FL
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