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General NPI Number Information
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NPI Number | 1114416633
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Entity Type | Individual
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Provider Name | STEPHANIE MASTRI
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Gender | Female
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 6176 DUMFRIES RD
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City | WARRENTON
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State | VA
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Zip | 20187-4169
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Country | US
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Telephone | 540-422-7670
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Fax | 540-422-7689
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Provider Business Mailing Address
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Address Line | 6176 DUMFRIES RD
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City | WARRENTON
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State | VA
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Zip | 20187-4169
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Country | US
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Telephone | 540-422-7670
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Fax | 540-422-7689
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | VA
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