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General NPI Number Information
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NPI Number | 1770618159
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Entity Type | Individual
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Provider Name | STACEY FLOTTE STEMKE M.C.D.CCC-SLP.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4415 SHORES DR SUITE 220
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City | METAIRIE
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State | LA
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Zip | 70006-6804
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Country | US
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Telephone | 504-887-5780
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Fax | 504-888-0323
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Provider Business Mailing Address
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Address Line | 7005 WILTY ST
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City | METAIRIE
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State | LA
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Zip | 70003-3121
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Country | US
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Telephone | 504-885-6435
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Fax | 504-888-0323
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3436
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License Number State | LA
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