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General NPI Number Information
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NPI Number | 1184540379
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Entity Type | Individual
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Provider Name | STEPHANIE RESNICK
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Gender |
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 10803 FALLS RD
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City | TIMONIUM
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State | MD
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Zip | 21093-4518
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Country | US
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Telephone | 443-997-5476
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 E ADAMS ST APT 3
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City | SYRACUSE
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State | NY
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Zip | 13210-1740
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30919
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License Number State | MD
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