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General NPI Number Information
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NPI Number | 1255413019
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Entity Type | Individual
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Provider Name | DIANNE STACHOWSKI RN
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 1400 BLACKHORSE HILL RD BLDG 57A ROOM 122
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City | COATESVILLE
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State | PA
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Zip | 19320-2040
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Country | US
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Telephone | 610-384-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 213 ZIEGLERVILLE RD
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City | SCHWENKSVILLE
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State | PA
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Zip | 19473-2217
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Country | US
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Telephone | 610-287-6523
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | RN278933 L
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License Number State | PA
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