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General NPI Number Information
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NPI Number | 1992916803
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Entity Type | Individual
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Provider Name | SYBIL ALLYSON STOCK MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 834 KENWOOD AVE
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City | SLINGERLANDS
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State | NY
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Zip | 12159-9601
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Country | US
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Telephone | 518-439-6003
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Fax |
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Provider Business Mailing Address
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Address Line | 184 EUCLID AVE
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City | ALBANY
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State | NY
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Zip | 12208-1402
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Country | US
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Telephone | 518-439-6003
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 195695
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License Number State | NY
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