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NPI Code Detail

MEDICARE: STACEY DUBOWITCH

MEDICARE:   STACEY  DUBOWITCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1013860519
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY DUBOWITCH
Provider Business Mailing Address
First Line : 1489 W WARM SPRINGS RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7635
Country : US
Telephone Number : 215-620-8073
Fax Number :
Provider Business Practice Location Address
First Line : 1489 W WARM SPRINGS RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7635
Country : US
Telephone Number : 215-620-8073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ STACEY DUBOWITCH ” Practice Location

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