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General NPI Number Information
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NPI Number | 1154875680
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Entity Type | Individual
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Provider Name | STEPHENIE LEFEVERS
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Gender | Female
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Dates
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Enumeration Date | 08/13/2016
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Last Update Date | 08/13/2016
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Provider Practice Location Address
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Address Line | 724 E US HIGHWAY 80 STE 200
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City | FORNEY
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State | TX
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Zip | 75126-8720
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Country | US
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Telephone | 972-259-7179
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Fax |
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Provider Business Mailing Address
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Address Line | 1082 OAK BEND DR
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City | KAUFMAN
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State | TX
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Zip | 75142-5338
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Country | US
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Telephone | 972-259-7179
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 119095
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License Number State | TX
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