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General NPI Number Information
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NPI Number | 1619508587
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Entity Type | Individual
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Provider Name | STEPHANIE LEE BILLMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1995 E OAKLAND PARK BLVD STE 310
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City | FT LAUDERDALE
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State | FL
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Zip | 33306-1138
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Country | US
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Telephone | 954-791-6146
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Fax |
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Provider Business Mailing Address
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Address Line | 1995 E OAKLAND PARK BLVD STE 310
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City | FT LAUDERDALE
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State | FL
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Zip | 33306-1138
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Country | US
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Telephone | 954-791-6146
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAC0825
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9119544
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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