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General NPI Number Information
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NPI Number | 1801329594
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Entity Type | Individual
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Provider Name | STEPHANIE ANNE LUBIN DPM
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Gender | Female
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 8 W 38TH ST RM 503
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City | NEW YORK
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State | NY
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Zip | 10018-6368
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Country | US
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Telephone | 646-355-8505
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Fax |
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Provider Business Mailing Address
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Address Line | 155 BORDEN AVE APT 23G
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-6239
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Country | US
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Telephone | 631-484-8655
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 00705201
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License Number State | NY
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