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General NPI Number Information
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NPI Number | 1952393951
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Entity Type | Individual
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Provider Name | DR. WILLIAM RUCKER STAGGERS
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 411 N SECTION ST
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City | FAIRHOPE
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State | AL
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Zip | 36532-2649
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Country | US
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Telephone | 251-928-9090
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Fax | 251-990-0520
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Provider Business Mailing Address
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Address Line | 2935 THOUSAND OAKS DR STE 294
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3563
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Country | US
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Telephone | 210-494-1100
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Fax | 210-494-1117
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 15283
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License Number State | AL
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