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General NPI Number Information
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NPI Number | 1366062051
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Entity Type | Individual
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Provider Name | STEFANIE CZERWINSKI MD, MS
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Gender | Female
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 3998 FAU BLVD STE 120
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City | BOCA RATON
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State | FL
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Zip | 33431-6429
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Country | US
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Telephone | 561-918-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 7259 S BINGHAM JUNCTION BLVD
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City | MIDVALE
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State | UT
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Zip | 84047-4860
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Country | US
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Telephone | 801-930-3110
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101285097
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 78878
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME170483
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License Number State | FL
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