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Individual
STEPHANIE DALEY
Active
Individual
STEPHANIE DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
037140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12625333
CAQH
NY
Enumeration date
11/19/2013
Last updated
06/11/2019
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