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General NPI Number Information
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NPI Number | 1255986022
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Entity Type | Individual
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Provider Name | ERICA LINDSAY STOKES OD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 401 EVERGREEN WAY UNIT 415
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-6963
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Country | US
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Telephone | 860-644-3364
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Fax |
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Provider Business Mailing Address
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Address Line | 128 DAVID DR
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City | COVENTRY
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State | CT
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Zip | 06238-1320
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Country | US
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Telephone | 860-944-7657
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3189
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License Number State | CT
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