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General NPI Number Information
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NPI Number | 1023154937
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Entity Type | Individual
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Provider Name | KAREN MERYL STUGENSKY RPA-C
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5141 BROADWAY ALLEN PAVILION
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City | NEW YORK
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State | NY
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Zip | 10034-1159
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Country | US
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Telephone | 212-932-4125
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 INDEPENDENCE AVE 1N
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City | BRONX
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State | NY
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Zip | 10463-6225
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Country | US
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Telephone | 718-549-9495
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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 | 002816-1
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License Number State | NY
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