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General NPI Number Information
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NPI Number | 1548593684
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Entity Type | Individual
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Provider Name | MRS. STEPHANIE KAY MATTREY
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Gender | Female
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 19 RESEARCH DR STE 5
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City | AMHERST
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State | MA
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Zip | 01002-2781
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Country | US
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Telephone | 413-336-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 7 ALYSSUM DR
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City | AMHERST
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State | MA
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Zip | 01002-3405
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Country | US
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Telephone | 413-366-8300
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 254048
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License Number State | MA
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