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General NPI Number Information
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NPI Number | 1114205275
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Entity Type | Individual
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Provider Name | LORRAINE ANN STEPHENSON DNP, ANP-BC, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2011
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 290 S LIVINGSTON AVE STE 1
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3986
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Country | US
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Telephone | 862-223-8449
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Fax | 866-755-9171
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Provider Business Mailing Address
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Address Line | 290 S LIVINGSTON AVE STE 1 SUITE 1
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3986
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Country | US
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Telephone | 862-223-8449
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Fax | 866-755-9171
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00416200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F407063-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP028849
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F305925
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License Number State | NY
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