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General NPI Number Information
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NPI Number | 1033364997
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Entity Type | Individual
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Provider Name | PAUL GREGORY STEPHENSON MS, F-AAA
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Gender | Male
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 811 NE ALSBURY BLVD SUITE 900
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City | BURLESON
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State | TX
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Zip | 76028-2668
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Country | US
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Telephone | 817-426-4318
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Fax | 817-426-0127
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Provider Business Mailing Address
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Address Line | 2800 W HIGGINS RD SUITE 895
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-2071
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Country | US
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Telephone | 847-843-1900
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Fax | 847-843-1901
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 50572
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License Number State | TX
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