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General NPI Number Information
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NPI Number | 1659618791
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Entity Type | Individual
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Provider Name | STACI PESSETTI DUBOIS PA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2013
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 34 HEALTHPARK WAY STE 100
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City | CLAYTON
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State | NC
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Zip | 27520-4497
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Country | US
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Telephone | 919-585-8850
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Fax | 919-585-8869
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Provider Business Mailing Address
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Address Line | 5221 PARAMOUNT PKWY STE 220
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City | MORRISVILLE
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State | NC
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Zip | 27560-5490
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Country | US
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Telephone | 984-215-4111
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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 | 03966
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License Number State | NC
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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 | 0010-03966
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License Number State | NC
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