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General NPI Number Information
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NPI Number | 1003803883
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Entity Type | Organization
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Legal Business Name | DON R STEPHENS MD PSC
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 439 E PLEASANT STREET
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City | CYNTHIANA
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State | KY
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Zip | 41031
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Country | US
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Telephone | 859-234-4494
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Fax | 859-234-4483
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Provider Business Mailing Address
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Address Line | 439 E PLEASANT STREET
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City | CYNTHIANA
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State | KY
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Zip | 41031
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Country | US
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Telephone | 859-234-4494
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Fax | 859-234-4483
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DON R STEPHENS
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Credential | MD
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Telephone | 859-234-4494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13035
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License Number State | KY
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