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General NPI Number Information
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NPI Number | 1053247841
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Entity Type | Organization
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Legal Business Name | STILLWATER MEDICINE LLC
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Dates
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Enumeration Date | 06/20/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 655 SHREWSBURY AVE STE 209
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4151
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Country | US
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Telephone | 732-788-9488
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Fax | 732-358-0498
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Provider Business Mailing Address
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Address Line | 96 LAKE SHORE DR
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City | RED BANK
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State | NJ
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Zip | 07701-5840
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Country | US
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Telephone | 732-788-9488
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Fax | 732-358-0498
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | JACQUELINE LOPRESTI
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Credential | D.O.
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Telephone | 732-788-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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