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General NPI Number Information
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NPI Number | 1326606435
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Entity Type | Individual
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Provider Name | STEPHANIE KWAN DO
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Gender | Female
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 9501 ROOSEVELT BLVD FL 4
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City | PHILADELPHIA
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State | PA
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Zip | 19114-1019
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Country | US
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Telephone | 800-321-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR STE 146
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City | STRATFORD
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State | NJ
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Zip | 08084-1500
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Country | US
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Telephone |
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 25MB12417200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | OS024068
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License Number State | PA
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