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General NPI Number Information
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NPI Number | 1740134568
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Entity Type | Individual
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Provider Name | NEZA LEE STEFANIC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 2 TOWN PL STE 110
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City | BRYN MAWR
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State | PA
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Zip | 19010-3420
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Country | US
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Telephone | 610-854-8676
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Fax |
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Provider Business Mailing Address
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Address Line | 439 PENSDALE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19128-3520
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Country | US
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Telephone | 717-991-0329
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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 |
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License Number State | PA
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