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General NPI Number Information
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NPI Number | 1831757178
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Entity Type | Individual
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Provider Name | JACQUELINE ANN STEM
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Gender | Female
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Dates
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Enumeration Date | 06/02/2019
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Last Update Date | 06/02/2019
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Provider Practice Location Address
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Address Line | 205 E JOHNSON HWY
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City | NORRISTOWN
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State | PA
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Zip | 19401-2041
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Country | US
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Telephone | 610-275-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 9 N MIDLAND AVE
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City | EAGLEVILLE
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State | PA
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Zip | 19403-1263
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Country | US
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Telephone | 215-301-0737
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TEI001920
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License Number State | PA
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