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General NPI Number Information
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NPI Number | 1043199441
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Entity Type | Individual
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Provider Name | WENDY GAIL STOCKER
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Gender | Female
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 509 NW 9TH ST
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City | WAGONER
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State | OK
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Zip | 74467-2305
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Country | US
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Telephone | 918-348-2124
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Fax | 918-348-2124
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Provider Business Mailing Address
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Address Line | 509 NW 9TH ST
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City | WAGONER
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State | OK
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Zip | 74467-2305
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Country | US
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Telephone | 918-348-2124
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number | INJ-521
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License Number State | OK
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