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General NPI Number Information
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NPI Number | 1942329503
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Entity Type | Individual
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Provider Name | RICHARD ARTHUR STAUBER DDS
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 293 ROUTE 100 MILL POND OFFICES, SUITE 202
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City | SOMERS
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State | NY
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Zip | 10589-3213
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Country | US
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Telephone | 914-277-8400
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Fax | 914-277-4298
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Provider Business Mailing Address
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Address Line | 26 HILLTOP RD
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City | WACCABUC
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State | NY
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Zip | 10597-1003
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Country | US
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Telephone | 914-669-5593
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 037867
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License Number State | NY
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