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General NPI Number Information
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NPI Number | 1952652802
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Entity Type | Individual
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Provider Name | GARRETT STIGALL D.D.S
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Gender | Male
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 240 DOCTORS DR
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City | BOONE
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State | NC
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Zip | 28607-5018
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Country | US
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Telephone | 828-264-7842
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Fax | 828-264-0627
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Provider Business Mailing Address
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Address Line | 3302 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-2013
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Country | US
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Telephone | 214-828-8445
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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 | 28455
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 9413
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License Number State | NC
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