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General NPI Number Information
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NPI Number | 1104616929
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Entity Type | Individual
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Provider Name | STEFANIA POTTER
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 32 UNION SQ E STE 300
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City | NEW YORK
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State | NY
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Zip | 10003-3246
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Country | US
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Telephone | 929-684-1086
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Fax |
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Provider Business Mailing Address
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Address Line | 32 UNION SQ E STE 300
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City | NEW YORK
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State | NY
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Zip | 10003-3246
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Country | US
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Telephone | 929-684-1086
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | N17402
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1116011-30
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 407916
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License Number State | NY
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