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General NPI Number Information
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NPI Number | 1487465548
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Entity Type | Individual
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Provider Name | STACY NZISA MUEMA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 605 HIGH ST
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City | MOUNT HOLLY
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State | NJ
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Zip | 08060-1022
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Country | US
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Telephone | 609-267-3610
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 N 7TH ST APT 13
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City | PHILADELPHIA
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State | PA
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Zip | 19122-2916
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Country | US
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Telephone | 267-299-3006
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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