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NPI 1588083281

NPI 1588083281 : STEFANI H BIRNHAK DO : HO HO KUS, NJ

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General NPI Number Information
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    NPI Number           |    1588083281
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    Entity Type          |    Individual 
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    Provider Name        |    STEFANI H BIRNHAK DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/09/2014
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    Last Update Date     |    01/03/2025
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Provider Practice Location Address
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    Address Line         |    201 E FRANKLIN TPKE 
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    City                 |    HO HO KUS
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    State                |    NJ
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    Zip                  |    07423-3517
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    Country              |    US
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    Telephone            |    201-652-1888
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    Fax                  |    201-652-6485
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Provider Business Mailing Address
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    Address Line         |    201 E FRANKLIN TPKE 
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    City                 |    HO HO KUS
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    State                |    NJ
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    Zip                  |    07423-3517
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    Country              |    US
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    Telephone            |    
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    307941
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    25MB10044300
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    207RA0000X
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    Taxonomy Name        |    Adolescent Medicine (Internal Medicine) Physician
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    License Number       |    20814
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    20A20814
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    License Number State |    CA
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