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General NPI Number Information
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NPI Number | 1235385881
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Entity Type | Individual
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Provider Name | ROBERTA-LEA STUESSI PT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 2250 HICKORY ROAD SUITE 240
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462
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Country | US
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Telephone | 800-879-4471
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Fax | 610-834-7525
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Provider Business Mailing Address
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Address Line | 18 BROOK DRIVE
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City | FAIRHAVEN
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State | MA
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Zip | 02719
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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 | 8586
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License Number State | MA
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