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General NPI Number Information
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NPI Number | 1124847249
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Entity Type | Individual
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Provider Name | DEVON STOCKTON BSN, RN, MSNW, RWP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 3935 EL CAMPO AVE
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City | FORT WORTH
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State | TX
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Zip | 76107-4406
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Country | US
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Telephone | 201-919-3998
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Fax |
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Provider Business Mailing Address
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Address Line | 3935 EL CAMPO AVE
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City | FORT WORTH
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State | TX
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Zip | 76107-4406
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Country | US
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Telephone | 201-919-3998
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1020574
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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