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General NPI Number Information
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NPI Number | 1679624522
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Entity Type | Individual
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Provider Name | ROBERT DENNIS STOCKS PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9630 CLAREWOOD DR SUITE A1
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City | HOUSTON
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State | TX
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Zip | 77036-3512
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Country | US
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Telephone | 713-272-6688
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Fax |
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Provider Business Mailing Address
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Address Line | 9710 OBERRENDER RD
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City | NEEDVILLE
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State | TX
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Zip | 77461-8963
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Country | US
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Telephone | 979-793-6391
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Fax |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 01857
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License Number State | TX
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