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NPI 1922096783

NPI 1922096783 : JOHN F STANOCH DPM : PRINCETON, NJ

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General NPI Number Information
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    NPI Number           |    1922096783
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN F STANOCH DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/06/2005
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    Last Update Date     |    01/12/2010
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Provider Practice Location Address
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    Address Line         |    11 N HARRISON ST 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08540-3502
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    Country              |    US
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    Telephone            |    609-924-1922
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    Fax                  |    609-497-2936
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Provider Business Mailing Address
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    Address Line         |    114 HERITAGE ST 
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    City                 |    ROBBINSVILLE
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    State                |    NJ
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    Zip                  |    08691-4111
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    Country              |    US
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    Telephone            |    660-925-9662
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    Fax                  |    609-259-6637
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    25MD001091000
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    License Number State |    NJ
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