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General NPI Number Information
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NPI Number | 1154864627
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Entity Type | Organization
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Legal Business Name | ALIZZI J STANCHEL LLC
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 7351 ASSATEAGUE DR STE 250
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City | JESSUP
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State | MD
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Zip | 20794-3212
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Country | US
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Telephone | 410-904-7701
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Fax | 410-799-1285
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Provider Business Mailing Address
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Address Line | 7351 ASSATEAGUE DR STE 250
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City | JESSUP
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State | MD
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Zip | 20794-3212
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Country | US
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Telephone | 410-904-7701
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALIZZI J STANCHEL
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Credential | OD
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Telephone | 410-904-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2082
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License Number State | MD
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