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General NPI Number Information
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NPI Number | 1528123411
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Entity Type | Individual
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Provider Name | LISA STEPHENS STANKOVICH CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 87 STAMBAUGH AVE SUITE 1
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City | SHARON
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State | PA
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Zip | 16146-2775
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Country | US
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Telephone | 724-981-6250
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Fax | 724-981-2190
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Provider Business Mailing Address
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Address Line | 163 FREDONIA HADLEY RD
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City | FREDONIA
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State | PA
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Zip | 16124-2323
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Country | US
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Telephone | 724-475-4778
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Fax | 724-981-9444
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN269050L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TP001671G
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License Number State | PA
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