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General NPI Number Information
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NPI Number | 1609979566
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Entity Type | Organization
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Legal Business Name | DAVID G. STOCKWELL, M.D. INC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3545 OLENTANGY RIVER RD SUITE 411
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City | COLUMBUS
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State | OH
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Zip | 43214-3993
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Country | US
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Telephone | 614-262-3144
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Fax | 614-262-3155
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Provider Business Mailing Address
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Address Line | 3545 OLENTANGY RIVER RD SUITE 411
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City | COLUMBUS
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State | OH
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Zip | 43214-3993
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Country | US
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Telephone | 614-262-3144
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Fax | 614-262-3155
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Authorized Official
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Title or Position | NURSE MANAGER
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Name | PENNY L SCHMALTZ
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Credential | R.N.C.
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Telephone | 614-262-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35036392S
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License Number State | OH
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