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General NPI Number Information
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NPI Number | 1245095595
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE ADLER NP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 14708 PIPELINE AVE STE B
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City | CHINO HILLS
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State | CA
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Zip | 91709-1296
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Country | US
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Telephone | 909-398-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 1928 JUDSON CT
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City | CLAREMONT
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State | CA
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Zip | 91711-2829
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Country | US
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Telephone | 909-305-3175
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95029072
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95039154
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License Number State | CA
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