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General NPI Number Information
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NPI Number | 1679046411
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Entity Type | Individual
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Provider Name | STELLA A STELIOS
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Gender | Female
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 620 ERIE BLVD W
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City | SYRACUSE
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State | NY
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Zip | 13204-2445
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Country | US
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Telephone | 315-472-7363
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Fax | 315-472-0084
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Provider Business Mailing Address
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Address Line | 518 JAMES ST
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City | SYRACUSE
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State | NY
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Zip | 13203-2238
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Country | US
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Telephone | 315-474-5506
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Fax | 315-474-1554
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406905
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 754978
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License Number State | NY
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