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General NPI Number Information
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NPI Number | 1144115114
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Entity Type | Individual
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Provider Name | STEPHEN PAUL DEATON LPO
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Gender | Male
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 4030 TATES CREEK RD APT 4907
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City | LEXINGTON
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State | KY
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Zip | 40517-3185
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Country | US
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Telephone | 859-440-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 4030 TATES CREEK RD APT 4907
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City | LEXINGTON
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State | KY
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Zip | 40517-3185
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Country | US
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Telephone | 859-440-7828
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 135799
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License Number State | KY
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