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General NPI Number Information
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NPI Number | 1588271944
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Entity Type | Individual
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Provider Name | STEPHANIE MERICA NP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2365 S CLINTON AVE STE 100
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City | ROCHESTER
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State | NY
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Zip | 14618-2663
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Country | US
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Telephone | 585-442-5320
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Fax | 585-442-5526
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE
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City | ROCHESTER
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State | NY
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Zip | 14646-0001
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Country | US
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Telephone |
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Fax | 984-464-7709
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 431864
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 431864
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 431864
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License Number State | NY
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