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General NPI Number Information
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NPI Number | 1598346611
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Entity Type | Organization
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Legal Business Name | STEPPING STONES PEDIATRICS PLLC
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 6101 SOUTH RURAL RD. STE 110
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City | TEMPE
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State | AZ
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Zip | 85283
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Country | US
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Telephone | 623-401-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 3009 N 17TH DR
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City | PHOENIX
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State | AZ
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Zip | 85015-6117
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Country | US
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Telephone | 602-803-0306
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Fax |
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Authorized Official
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Title or Position | NP
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Name | JAMES STANGLE
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Credential |
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Telephone | 623-401-5437
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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