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General NPI Number Information
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NPI Number | 1205609963
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Entity Type | Individual
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Provider Name | MRS. STACEY ANNE ELCONIN
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Gender | Female
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 79 MITCHELL RD
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City | SOMERS
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State | NY
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Zip | 10589-1801
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Country | US
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Telephone | 914-276-7654
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Fax |
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Provider Business Mailing Address
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Address Line | 79 MITCHELL RD
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City | SOMERS
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State | NY
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Zip | 10589-1801
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Country | US
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Telephone | 914-276-7654
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 580471941
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License Number State | NY
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