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NPI 1942553110

NPI 1942553110 : STEPHANIE ANN SYLVIA : DARTMOUTH, MA

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General NPI Number Information
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    NPI Number           |    1942553110
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE ANN SYLVIA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/24/2012
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    Last Update Date     |    10/24/2012
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Provider Practice Location Address
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    Address Line         |    620 SMITH NECK RD 
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    City                 |    DARTMOUTH
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    State                |    MA
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    Zip                  |    02748-1502
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    Country              |    US
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    Telephone            |    774-451-1613
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    620 SMITH NECK RD 
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    City                 |    DARTMOUTH
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    State                |    MA
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    Zip                  |    02748-1502
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    Country              |    US
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    Telephone            |    
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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        |    163WC0200X
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    Taxonomy Name        |    Critical Care Medicine Registered Nurse
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    License Number       |    RN588417
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    163WC0200X
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    Taxonomy Name        |    Critical Care Medicine Registered Nurse
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    License Number       |    RN2278681
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    License Number State |    MA
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