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General NPI Number Information
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NPI Number | 1902236680
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Entity Type | Individual
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Provider Name | DAVID STUCKEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 32 MASONIC ST STE A
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3038
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Country | US
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Telephone | 413-320-4191
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Fax | 413-341-1528
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Provider Business Mailing Address
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Address Line | 7031 SW 62ND AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4701
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | UO3819
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | UO3819
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License Number State | FL
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