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General NPI Number Information
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NPI Number | 1629457239
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Entity Type | Individual
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Provider Name | DOUGLAS STOCKEL DC
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Gender | Male
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 9340 COLONNADE TRL
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City | ALPHARETTA
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State | GA
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Zip | 30022-5190
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Country | US
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Telephone | 310-985-1515
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Fax | 310-526-7093
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Provider Business Mailing Address
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Address Line | 20969 VENTURA BLVD STE 204
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-6612
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Country | US
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Telephone | 310-985-1515
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Fax | 310-526-7093
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR009314
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 25934
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License Number State | CA
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