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General NPI Number Information
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NPI Number | 1508357112
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Entity Type | Individual
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Provider Name | SAMANTHA C STERN PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 9195 GRANT ST STE 130
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City | THORNTON
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State | CO
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Zip | 80229-4348
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Country | US
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Telephone | 844-455-2747
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Fax |
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Provider Business Mailing Address
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Address Line | 8366 W WOODARD DR
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City | LAKEWOOD
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State | CO
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Zip | 80227-2446
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Country | US
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Telephone | 262-617-9952
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Fax | 530-541-8723
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA55732
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0007755
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License Number State | CO
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