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General NPI Number Information
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NPI Number | 1215582325
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Entity Type | Organization
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Legal Business Name | STAMPE PT OT & SLP SERVICES, PLLC
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 1057 E HENRIETTA RD STE 500
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City | ROCHESTER
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State | NY
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Zip | 14623-2655
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Country | US
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Telephone | 585-258-3801
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Fax |
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Provider Business Mailing Address
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Address Line | 1057 E HENRIETTA RD STE 500
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City | ROCHESTER
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State | NY
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Zip | 14623-2655
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Country | US
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Telephone | 585-258-3801
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PIA STAMPE
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Credential |
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Telephone | 585-258-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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