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Individual
MATTHEW RICHARD STAPLETON
Active
Individual
MATTHEW RICHARD STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002345
DE
225100000X
Physical Therapist
Primary
P14235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205096377
CHAMPUS TRICARE
—
05
—
1205096377
—
DE
01
—
3527169000
AMERIHEALTH IBC
—
01
—
5070-0096
GHMSI
MD
01
—
88760501
CAREFIRST
MD
Enumeration date
06/12/2008
Last updated
12/15/2015
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