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General NPI Number Information
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NPI Number | 1376737262
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Entity Type | Organization
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Legal Business Name | DAVID B. STOECKLE, M.D., P.A., P.C.
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 820 HOSPITAL DR
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City | BLACKSBURG
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State | VA
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Zip | 24060-7023
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Country | US
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Telephone | 540-552-0005
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Fax | 540-951-2215
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Provider Business Mailing Address
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Address Line | 820 HOSPITAL DR
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City | BLACKSBURG
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State | VA
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Zip | 24060-7023
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Country | US
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Telephone | 540-552-0005
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Fax | 540-951-2215
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID BRUCE STOECKLE
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Credential | M.D.
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Telephone | 540-552-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101029405
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License Number State | VA
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