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General NPI Number Information
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NPI Number | 1568244804
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Entity Type | Individual
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Provider Name | LISA JOANNA STECCATO CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 7 POPHAM RD STE 3
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City | SCARSDALE
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State | NY
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Zip | 10583-3782
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Country | US
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Telephone | 914-725-0800
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Fax | 914-722-4501
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Provider Business Mailing Address
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Address Line | 123 S CONGER AVE
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City | CONGERS
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State | NY
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Zip | 10920-2205
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Country | US
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Telephone | 914-282-3446
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 383658
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License Number State | NY
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