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General NPI Number Information
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NPI Number | 1912494188
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Entity Type | Individual
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Provider Name | STEFANIE ALTMANN DO
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Gender | Female
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 100 PRINGLE AVE STE 425
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City | WALNUT CREEK
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State | CA
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Zip | 94596-7385
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Country | US
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Telephone | 925-932-3800
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Fax | 925-933-3339
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Provider Business Mailing Address
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Address Line | 4000 HOLLYWOOD BLVD STE 215-A
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6751
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Country | US
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Telephone | 954-988-0976
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS18824
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | PG188434
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 24681
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | UO6375
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License Number State | FL
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