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General NPI Number Information
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NPI Number | 1548860166
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Entity Type | Individual
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Provider Name | STEPHANIE DEBNATH NP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2020
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 180 S LAKE AVE STE 615
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City | PASADENA
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State | CA
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Zip | 91101-4763
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Country | US
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Telephone | 626-683-9158
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Fax | 626-683-9207
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Provider Business Mailing Address
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Address Line | 5226 DEL MORENO DR
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2428
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Country | US
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Telephone | 626-696-7554
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95020789
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License Number State | CA
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