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General NPI Number Information
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NPI Number | 1477103224
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Entity Type | Individual
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Provider Name | STEPHANIE CATHERINE MARCHESI CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 5230 CENTRE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15232-1304
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Country | US
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Telephone | 412-623-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 339 TRINITY DR
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City | WASHINGTON
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State | PA
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Zip | 15301-5723
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Country | US
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Telephone | 614-257-9144
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP020751
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License Number State | PA
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