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General NPI Number Information
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NPI Number | 1013916303
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Entity Type | Individual
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Provider Name | NICOLE JEAN STOESSEL DC
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Gender | Female
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 2207 CONCORD PIKE # 207
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City | WILMINGTON
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State | DE
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Zip | 19803-2908
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Country | US
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Telephone | 302-256-8622
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Fax | 302-340-7444
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Provider Business Mailing Address
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Address Line | 2600 GLASGOW AVE STE 124
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City | NEWARK
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State | DE
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Zip | 19702-4777
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Country | US
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Telephone | 302-256-8622
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Fax | 302-340-7444
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | F1-0000508
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License Number State | DE
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