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General NPI Number Information
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NPI Number | 1104883230
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Entity Type | Individual
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Provider Name | KIMBERLY ANN STOECKEL PT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 50 FOREST FALLS DR SUITE 2
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City | YARMOUTH
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State | ME
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Zip | 04096-6937
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Country | US
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Telephone | 207-846-8725
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Fax | 207-846-8728
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Provider Business Mailing Address
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Address Line | 2028 NW 31ST ST
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City | ANKENY
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State | IA
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Zip | 50023-4116
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Country | US
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Telephone | 719-425-6326
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3135
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 092323
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License Number State | IA
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