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General NPI Number Information
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NPI Number | 1124745401
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Entity Type | Individual
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Provider Name | ANNE STEVENS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 1000 E UNIVERSITY AVE, DEPT. 3415 BIOLOGICAL SCIENCES BUILDING, ROOM 307
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City | LARAMIE
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State | WY
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Zip | 82071-8207
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Country | US
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Telephone | 307-766-2149
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E UNIVERSITY AVE DEPT 3415
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City | LARAMIE
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State | WY
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Zip | 82071-2001
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Country | US
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Telephone | 307-766-2149
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 807
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License Number State | WY
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