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General NPI Number Information
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NPI Number | 1366871162
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Entity Type | Organization
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Legal Business Name | ROBERT L STOKES JR MD PLC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 674 BERKMAR CIR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1464
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Country | US
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Telephone | 804-690-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 674 BERKMAR CIR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1464
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Country | US
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Telephone | 804-690-6262
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT LEE STOKES JR.
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Credential | M.D.
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Telephone | 804-690-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 0101038412
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License Number State | VA
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