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General NPI Number Information
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NPI Number | 1720436397
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Entity Type | Individual
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Provider Name | ALLISON A STOECKER D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2433 OAK VALLEY DR STE 400
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City | ANN ARBOR
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State | MI
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Zip | 48103-7602
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Country | US
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Telephone | 734-477-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 5141 VIRGINIA WAY STE 350
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City | BRENTWOOD
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State | TN
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Zip | 37027-2319
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Country | US
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Telephone | 855-744-8554
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Fax | 630-495-1770
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | DO184772
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | DO184772
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 5101026056
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License Number State | MI
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