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General NPI Number Information
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NPI Number | 1619408325
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Entity Type | Individual
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Provider Name | STEFANI FONTANA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1323 W 23RD ST
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City | HOUSTON
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State | TX
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Zip | 77008-1609
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Country | US
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Telephone | 913-333-8763
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 W 23RD ST
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City | HOUSTON
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State | TX
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Zip | 77008-1609
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Country | US
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Telephone | 913-333-8763
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | U1272
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | U1272
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License Number State | TX
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