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General NPI Number Information
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NPI Number | 1043408693
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Entity Type | Organization
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Legal Business Name | JILL E. STOCKER, D.O. PC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 1166 LIVE OAK BLVD
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City | YUBA CITY
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State | CA
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Zip | 95991-3407
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Country | US
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Telephone | 530-751-1500
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Fax | 530-751-1616
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Provider Business Mailing Address
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Address Line | 1166 LIVE OAK BLVD
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City | YUBA CITY
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State | CA
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Zip | 95991-3407
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Country | US
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Telephone | 530-751-1500
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Fax | 530-751-1616
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JILL E. STOCKER
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Credential | D.O.
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Telephone | 530-755-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A8928
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License Number State | CA
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