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General NPI Number Information
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NPI Number | 1164494654
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Entity Type | Individual
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Provider Name | MERIDETH MICHELLE STABILITO CRNP, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 610 LOUIS DR
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City | WARMINSTER
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State | PA
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Zip | 18974-2828
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Country | US
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Telephone | 159-577-9802
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Fax |
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Provider Business Mailing Address
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Address Line | 719 HILL RD
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1516
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Country | US
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Telephone | 212-617-7573
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Fax | 205-348-4419
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP024999
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License Number State | PA
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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 | RN688243
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License Number State | PA
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