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General NPI Number Information
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NPI Number | 1275054322
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Entity Type | Individual
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Provider Name | STACIE MARIE HOWARD PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 8906 PERRIN BEITEL
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City | SAN ANTONIO
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State | TX
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Zip | 78217
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Country | US
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Telephone | 210-572-3306
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Fax | 210-249-0125
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Provider Business Mailing Address
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Address Line | 2961 MOSSROCK
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5119
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Country | US
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Telephone | 210-731-4800
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Fax | 210-731-4886
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA11555
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License Number State | TX
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