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General NPI Number Information
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NPI Number | 1104431642
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Entity Type | Individual
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Provider Name | SARAH RASTATTER STEPANIAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 5115 CENTRE AVE FL 4
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City | PITTSBURGH
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State | PA
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Zip | 15232-1301
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Country | US
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Telephone | 724-561-9737
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Fax |
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Provider Business Mailing Address
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Address Line | 419 FERN HOLLOW LN
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City | WEXFORD
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State | PA
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Zip | 15090-7533
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Country | US
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Telephone | 724-561-9737
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA061910
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License Number State | PA
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