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General NPI Number Information
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NPI Number | 1083422331
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Entity Type | Individual
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Provider Name | CLEO STOKES
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Gender | Female
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 6101 PARK HEIGHTS AVE APT 1D
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City | BALTIMORE
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State | MD
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Zip | 21215-3640
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Country | US
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Telephone | 410-624-7190
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Fax | 410-624-7193
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Provider Business Mailing Address
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Address Line | 6101 PARK HEIGHTS AVE APT 1D
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City | BALTIMORE
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State | MD
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Zip | 21215-3640
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Country | US
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Telephone | 410-624-7190
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Fax | 410-624-7193
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | MD
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