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General NPI Number Information
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NPI Number | 1134132483
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Entity Type | Individual
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Provider Name | STEPHANIE L THERON NP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 250 SAN JOSE ST
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City | SALINAS
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State | CA
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Zip | 93901-3901
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Country | US
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Telephone | 831-758-8223
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WILSON RD STE 100
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City | MONTEREY
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State | CA
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Zip | 93940-7885
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Country | US
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Telephone | 831-242-8394
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 118864
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 22691
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License Number State | CA
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