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General NPI Number Information
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NPI Number | 1821897547
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Entity Type | Organization
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Legal Business Name | STEPHANIE MIDGLEY MEDICINE PC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 232 NEW HACKENSACK RD
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-1408
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Country | US
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Telephone | 718-759-7658
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Fax |
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Provider Business Mailing Address
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Address Line | 26 SPY GLASS HL
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City | HOPEWELL JCT
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State | NY
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Zip | 12533-6274
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Country | US
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Telephone | 718-759-7658
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE MIDGLEY
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Credential | MD
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Telephone | 718-759-7658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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