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General NPI Number Information
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NPI Number | 1063414621
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Entity Type | Individual
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Provider Name | BARBARA FRANCES STACK PCCHNP, FNP, RN
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 400 OLD FORGE HILL RD VAILS GATE ELEMENTARY SCHOOL HEALTH OFFICE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8549
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Country | US
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Telephone | 845-563-7911
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Fax | 845-563-7905
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | BLOOMING GROVE
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State | NY
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Zip | 10914-0056
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Country | US
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Telephone | 845-496-7019
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Fax | 845-496-7825
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 208206
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | F320014
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License Number State | NY
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