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General NPI Number Information
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NPI Number | 1861979817
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Entity Type | Individual
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Provider Name | REBEKAH STUART PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 500 PLAZA CT STE B
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-8262
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Country | US
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Telephone | 570-426-2301
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone | 847-390-5900
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Fax | 847-390-4757
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA059978
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085011222
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License Number State | IL
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