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General NPI Number Information
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NPI Number | 1811078884
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Entity Type | Organization
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Legal Business Name | WENDY K. STINSON DPM
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 286 UNION AVE LOWER LEVEL
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City | BELLEVILLE
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State | NJ
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Zip | 07109-2053
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Country | US
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Telephone | 973-751-8637
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Fax | 973-751-3444
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Provider Business Mailing Address
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Address Line | 286 UNION AVE LOWER LEVEL
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City | BELLEVILLE
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State | NJ
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Zip | 07109-2053
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Country | US
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Telephone | 973-751-8637
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Fax | 973-751-3444
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Authorized Official
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Title or Position | OWNER
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Name | WENDY K. STINSON
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Credential | DPM
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Telephone | 973-751-8637
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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 | 25MD00273900
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License Number State | NJ
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