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General NPI Number Information
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NPI Number | 1033202882
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN SCHAM ORTEGA MD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 25 POCONO RD
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City | DENVILLE
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State | NJ
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Zip | 07834-2954
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Country | US
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Telephone | 973-625-6511
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Fax | 973-983-2293
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Provider Business Mailing Address
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Address Line | 22 BRANDYWINE CT
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City | LAFAYETTE
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State | NJ
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Zip | 07848-3803
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Country | US
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Telephone | 973-625-6511
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Fax | 973-983-2293
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MA 70013
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License Number State | NJ
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