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General NPI Number Information
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NPI Number | 1659488245
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Entity Type | Individual
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Provider Name | VALERIE LYNN STELLA-BAHNER CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3461 CIVIC CENTER BLVD NURSING HOME CARE UNIT
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 215-823-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 2563 OGDEN AVE
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City | BENSALEM
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State | PA
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Zip | 19020-5228
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Country | US
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Telephone | 215-638-2845
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP005738C
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License Number State | PA
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