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General NPI Number Information
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NPI Number | 1649705971
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Entity Type | Individual
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Provider Name | STEPHANIE PILLAI PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2001 PROVIDENCE AVE
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City | CHESTER
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State | PA
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Zip | 19013-5504
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Country | US
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Telephone | 610-502-8154
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Fax |
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Provider Business Mailing Address
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Address Line | 8 OAK KNOLL DR
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City | WALLINGFORD
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State | PA
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Zip | 19086-6315
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Country | US
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Telephone | 240-476-4337
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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 | OA004279
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License Number State | PA
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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 | MA059067
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License Number State | PA
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