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General NPI Number Information
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NPI Number | 1902504863
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Entity Type | Individual
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Provider Name | STEFANIE ALEXANDRA GOLDSTEIN RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1092 YARMOUTH E
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City | BOCA RATON
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State | FL
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Zip | 33434-4550
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Country | US
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Telephone | 845-341-7665
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Fax |
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Provider Business Mailing Address
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Address Line | 1092 YARMOUTH E
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City | BOCA RATON
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State | FL
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Zip | 33434-4550
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Country | US
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Telephone | 845-341-7665
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 353237
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11029978
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 919425
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9597087
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License Number State | FL
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