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General NPI Number Information
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NPI Number | 1033546536
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Entity Type | Individual
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Provider Name | DEVAN STEVENS MS OTR, PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 901 RANCHO LN STE 135
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City | LAS VEGAS
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State | NV
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Zip | 89106-3826
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Country | US
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Telephone | 702-383-1958
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Fax | 702-383-8235
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Provider Business Mailing Address
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Address Line | 1620 STIRRUP DR
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City | HENDERSON
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State | NV
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Zip | 89002-8824
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Country | US
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Telephone | 702-578-6271
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 225XP0019X
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License Number State | NV
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