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General NPI Number Information
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NPI Number | 1154904498
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Entity Type | Organization
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Legal Business Name | STAY WELL HEALTH PEDIATRICS NP AND FAMILY HEALTH NP PLLC
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 85 E 10TH ST APT K
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City | NEW YORK
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State | NY
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Zip | 10003-5457
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Country | US
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Telephone | 929-373-3715
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Fax |
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Provider Business Mailing Address
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Address Line | 85 E 10TH ST APT K
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City | NEW YORK
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State | NY
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Zip | 10003-5457
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MARY ELIZABETH KATINAS
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Credential |
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Telephone | 301-523-1869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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