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General NPI Number Information
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NPI Number | 1083558977
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Entity Type | Organization
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Legal Business Name | STEPHANIE PISTILLI DO LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 440 ROUTE 34
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City | COLTS NECK
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State | NJ
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Zip | 07722-2525
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Country | US
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Telephone | 917-991-3204
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Fax |
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Provider Business Mailing Address
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Address Line | 5 LAKEVIEW TER
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City | COLTS NECK
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State | NJ
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Zip | 07722-1473
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Country | US
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Telephone | 917-991-3204
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. STEPHANIE MARIE PISTILLI
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Credential | DO FACOG MSCP
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Telephone | 917-991-3204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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