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NPI 1720744782

NPI 1720744782 : NICHOLAS JOSEPH STANZIONE APRN : STAMFORD, CT

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General NPI Number Information
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    NPI Number           |    1720744782
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    Entity Type          |    Individual 
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    Provider Name        |    NICHOLAS JOSEPH STANZIONE APRN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/15/2021
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    Last Update Date     |    02/20/2026
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Provider Practice Location Address
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    Address Line         |    1055 SUMMER ST STE 2 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06905-5527
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    Country              |    US
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    Telephone            |    203-439-5050
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    34545 DUPONT BLVD STE 11 
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    City                 |    FRANKFORD
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    State                |    DE
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    Zip                  |    19945-3948
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    Country              |    US
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    Telephone            |    914-764-2954
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    Fax                  |    914-259-5363
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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       |    L8-0010876
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    407579
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    14872
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    License Number State |    CT
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