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General NPI Number Information
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NPI Number | 1255611943
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Entity Type | Individual
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Provider Name | STACY ANNE KOCIOLEK ALBRECHT PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 440 W LINCOLN ST
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City | EASTON
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State | PA
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Zip | 18042-3851
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Country | US
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Telephone | 484-224-0825
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Fax | 484-224-0826
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Provider Business Mailing Address
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Address Line | 440 WEST LINCOLN ST
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City | EASTON
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State | PA
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Zip | 18042
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Country | US
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Telephone | 484-224-0825
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Fax | 484-224-0826
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | TMA052544
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA055200
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License Number State | PA
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