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General NPI Number Information
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NPI Number | 1861123051
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Entity Type | Organization
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Legal Business Name | DANIEL G STOCKBURGER DDS PC
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 606 THIMBLE SHOALS BLVD BUILDING C1
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-873-2577
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Fax | 757-873-2796
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Provider Business Mailing Address
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Address Line | 606 THIMBLE SHOALS BLVD BUILDING C1
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-873-2577
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Fax | 757-873-2796
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | MS. ELIZABETH PFEUFFER
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Credential |
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Telephone | 757-873-2577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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