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General NPI Number Information
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NPI Number | 1003524257
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Entity Type | Individual
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Provider Name | LAUREN CATHERINE HENDRICK STAHLSMITH PA
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Gender | Female
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 99 PARK AVE FL 20
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City | NEW YORK
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State | NY
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Zip | 10016-1601
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Country | US
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Telephone | 212-972-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E 57TH ST APT 2H
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City | NEW YORK
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State | NY
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Zip | 10022-2994
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Country | US
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Telephone | 716-490-2763
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 028799
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 028799
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License Number State | NY
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