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General NPI Number Information
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NPI Number | 1629738570
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Entity Type | Organization
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Legal Business Name | HYMAN STADLEN MD
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 2 STOWE RD STE 1
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City | PEEKSKILL
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State | NY
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Zip | 10566-2582
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Country | US
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Telephone | 914-736-2273
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Fax | 914-736-2511
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Provider Business Mailing Address
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Address Line | 2 STOWE RD STE 1
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City | PEEKSKILL
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State | NY
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Zip | 10566-2582
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Country | US
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Telephone | 914-736-2273
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Fax | 914-736-2511
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. KRISTEN HEAPHY
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Credential | FNP
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Telephone | 914-482-4133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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