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General NPI Number Information
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NPI Number | 1306650494
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Entity Type | Individual
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Provider Name | DR. STEPHANIE PALAT
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Gender | Female
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 11848 BERNARDO PLAZA CT STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92128-2417
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Country | US
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Telephone | 858-217-2496
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Fax |
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Provider Business Mailing Address
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Address Line | 62 QUEEN ANNE DR
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City | SLINGERLANDS
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State | NY
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Zip | 12159-9385
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Country | US
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Telephone | 518-424-1093
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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 | 307536
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License Number State | CA
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