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General NPI Number Information
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NPI Number | 1124638184
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Entity Type | Individual
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Provider Name | SYMONE STEPHENS WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1 E 31ST ST # N200
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City | BALTIMORE
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State | MD
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Zip | 21218-3902
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Country | US
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Telephone | 410-516-3311
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Fax | 410-516-4784
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone |
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Fax | 410-500-4266
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AC006141
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | R266153
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License Number State | MD
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