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General NPI Number Information
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NPI Number | 1134090319
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Entity Type | Individual
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Provider Name | TERRY PATRICE STEPHENS-TERRELL
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Gender | Female
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3005 DAYTON ST & REMOTE LOCATIONS, MILITARY BASES
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City | BATON ROUGE
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State | LA
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Zip | 70805-4022
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Country | US
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Telephone | 225-207-7473
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 DAYTON ST
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City | BATON ROUGE
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State | LA
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Zip | 70805-4022
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Country | US
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Telephone | 225-207-7473
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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License Number | PA-NA
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | CN0014256052
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 318362
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 320837880125
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License Number State | OK
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Taxonomy #8
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | OK
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Taxonomy #9
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | PA-NA
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License Number State | MO
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