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General NPI Number Information
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NPI Number | 1982667671
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Entity Type | Individual
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Provider Name | AIMEE JOYCE STABLEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 201 REECEVILLE RD EMERGENCY DEPARTMENT
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City | COATESVILLE
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State | PA
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Zip | 19320-1542
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Country | US
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Telephone | 610-383-8185
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Fax |
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Provider Business Mailing Address
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Address Line | 125 FEDERAL WALK
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-1866
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Country | US
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Telephone | 267-253-7475
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0000504
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License Number State | DE
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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 | OA002105
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA052530
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License Number State | PA
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