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General NPI Number Information
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NPI Number | 1154012888
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Entity Type | Organization
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Legal Business Name | STAIRWAY TO HEALTH LLC
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 301 STATION DR STE 103
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City | DUBLIN
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State | PA
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Zip | 18917-1407
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Country | US
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Telephone | 267-490-7123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34
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City | DUBLIN
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State | PA
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Zip | 18917-0034
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Country | US
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Telephone | 267-490-7123
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Fax | 833-841-0402
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Authorized Official
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Title or Position | OWNER
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Name | LISA PRITZ DIEGEL
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Credential |
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Telephone | 267-490-7123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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