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General NPI Number Information
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NPI Number | 1972781730
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Entity Type | Organization
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Legal Business Name | MARC N STOCK
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 01/20/2010
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Provider Practice Location Address
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Address Line | 2201 W HOLCOMBE BLVD STE 230
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City | HOUSTON
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State | TX
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Zip | 77030-2096
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Country | US
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Telephone | 713-662-0333
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Fax | 713-662-0387
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Provider Business Mailing Address
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Address Line | 2201 W HOLCOMBE BLVD STE 230
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City | HOUSTON
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State | TX
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Zip | 77030-2096
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Country | US
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Telephone | 713-662-0333
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Fax | 713-662-0387
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC STOCK
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Credential | DPM
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Telephone | 713-662-0333
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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 | 1218P
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License Number State | TX
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