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General NPI Number Information
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NPI Number | 1649109653
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Entity Type | Organization
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Legal Business Name | STAMGOCO PC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 14372 E WARREN DR
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City | YUMA
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State | AZ
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Zip | 85367-7589
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Country | US
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Telephone | 928-580-6810
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Fax | 928-248-4660
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Provider Business Mailing Address
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Address Line | 14372 E WARREN DR
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City | YUMA
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State | AZ
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Zip | 85367-7589
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Country | US
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Telephone | 928-580-6810
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Fax | 928-248-4660
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. STAMATIA FISSAS GOCKEL
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Credential | DO
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Telephone | 928-580-6810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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