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General NPI Number Information
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NPI Number | 1073878682
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Entity Type | Individual
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Provider Name | TIONA KIMISHA STEPHENS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 16224 HOLLINGBOURNE RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-5731
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Country | US
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Telephone | 954-593-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 16224 HOLLINGBOURNE RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-5731
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Country | US
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Telephone | 954-598-3847
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5315056178
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301101307
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2015-0133
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License Number State | NC
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