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General NPI Number Information
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NPI Number | 1609877067
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Entity Type | Individual
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Provider Name | JOHN BRENNAN STOCKEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 3663 S MIAMI AVE
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City | MIAMI
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State | FL
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Zip | 33133-4253
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Country | US
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Telephone | 305-854-4400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7623
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City | NAPLES
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State | FL
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Zip | 34101-7623
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Country | US
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Telephone | 305-712-7229
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Fax | 305-397-1139
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 221093
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 0101229014
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME83053
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 42151
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | AFE45310
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | C10005885
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License Number State | DE
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Taxonomy #7
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | M7656
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD072116L
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 35077791S
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | D0045541
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License Number State | MD
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Taxonomy #11
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME83053
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License Number State | FL
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