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General NPI Number Information
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NPI Number | 1770618480
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Entity Type | Individual
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Provider Name | DAVID ALLEN STOKER M.D
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 4640 ADMIRALTY WAY SUITE 1000
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6621
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Country | US
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Telephone | 310-300-1779
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Fax | 310-494-0509
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Provider Business Mailing Address
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Address Line | 4640 ADMIRALTY WAY SUITE 1000
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6621
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Country | US
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Telephone | 310-300-1779
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Fax | 310-494-0509
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A74300
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License Number State | CA
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