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General NPI Number Information
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NPI Number | 1356056154
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Entity Type | Organization
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Legal Business Name | ALI M. STROCKER, M.D. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 18425 BURBANK BLVD STE 412
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City | TARZANA
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State | CA
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Zip | 91356-6912
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Country | US
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Telephone | 818-905-8118
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Fax | 818-905-8527
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Provider Business Mailing Address
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Address Line | 18425 BURBANK BLVD STE 412
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City | TARZANA
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State | CA
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Zip | 91356-6912
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Country | US
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Telephone | 818-905-1195
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Fax | 818-905-8527
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ALI STROCKER
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Credential | MD
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Telephone | 818-905-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number |
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License Number State |
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