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General NPI Number Information
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NPI Number | 1144765504
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Entity Type | Individual
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Provider Name | JEANNA ALICIA STOKES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 2323 RACE ST UNIT 406
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1081
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Country | US
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Telephone | 312-718-2815
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 RACE ST UNIT 406
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1081
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Country | US
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Telephone | 312-718-2815
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05884
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS018750
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License Number State | PA
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