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General NPI Number Information
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NPI Number | 1164583068
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Entity Type | Individual
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Provider Name | VIRGINIA D. STOCKER VIRGINIA STOCKER
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3970 N OAKLAND AVE #502
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City | SHOREWOOD
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State | WI
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Zip | 53211-2265
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Country | US
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Telephone | 414-332-2548
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Fax |
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Provider Business Mailing Address
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Address Line | 845 E GLEN AVE
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-5217
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Country | US
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Telephone | 414-962-1947
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 338-128
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License Number State | WI
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