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General NPI Number Information
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NPI Number | 1396131843
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Entity Type | Individual
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Provider Name | STEPHEN FERRARESI MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2015
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 8 PROSPECT ST
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City | NASHUA
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State | NH
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Zip | 03060-3925
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Country | US
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Telephone | 603-577-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 14369 PADDOCK DR
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City | WELLINGTON
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State | FL
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Zip | 33414-7819
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Country | US
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Telephone | 561-386-0308
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 57681
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | LT3989
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101263171
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 19242
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License Number State | NH
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