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Individual
DR. STACY DAU LY
Active
Individual
DR. STACY DAU LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A102438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00824966
RAILROAD MEDICARE
CA
Enumeration date
01/31/2008
Last updated
06/21/2012
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