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General NPI Number Information
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NPI Number | 1194504100
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Entity Type | Organization
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Legal Business Name | JOSEPH J STUCKERT II MD LLC
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 9365 MCKNIGHT RD STE 700
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City | PITTSBURGH
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State | PA
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Zip | 15237-5955
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Country | US
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Telephone | 412-730-2900
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Fax | 412-452-9698
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Provider Business Mailing Address
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Address Line | 9365 MCKNIGHT RD STE 700
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City | PITTSBURGH
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State | PA
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Zip | 15237-5955
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Country | US
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Telephone | 412-730-2900
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Fax | 412-452-9698
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH J. STUCKERT
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Credential | MD
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Telephone | 412-730-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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