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NPI Code Detail

MEDICARE: STACIE MARIE POMPILI

MEDICARE:   STACIE MARIE POMPILI
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
11041C0700XClinical Social WorkerP016963NC

General Provider Information

NPI Number : 1265184261
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE MARIE POMPILI
Provider Business Mailing Address
First Line : 1000 JEFFERSON ST STE 2C
Second Line :
City : LYNCHBURG
State : VA
Zip : 24504-1724
Country : US
Telephone Number : 855-284-7483
Fax Number : 617-807-0958
Provider Business Practice Location Address
First Line : 19901 W CATAWBA AVE STE 102
Second Line :
City : CORNELIUS
State : NC
Zip : 28031-4040
Country : US
Telephone Number : 855-284-7483
Fax Number : 617-807-0958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2022
Last Update Date : 01/28/2022

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Directions to “ STACIE MARIE POMPILI ” Practice Location

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