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General NPI Number Information
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NPI Number | 1598215717
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Entity Type | Individual
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Provider Name | STACEY ANN STEFANSKI DC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 9109 SOUTH US HIGHWAY 1
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952
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Country | US
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Telephone | 772-337-1300
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Fax | 800-783-5176
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Provider Business Mailing Address
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Address Line | 9109 SOUTH US HIGHWAY 1
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952
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Country | US
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Telephone | 845-380-7610
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Fax | 772-281-4817
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00582700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8303
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License Number State | FL
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