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General NPI Number Information
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NPI Number | 1184573784
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Entity Type | Organization
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Legal Business Name | STEPHENSON GUT VITALITY & HEALTH LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 148 OAKTREE RD
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City | SEYMOUR
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State | IL
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Zip | 61875-9608
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Country | US
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Telephone | 217-778-2188
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Fax |
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Provider Business Mailing Address
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Address Line | 148 OAKTREE RD
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City | SEYMOUR
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State | IL
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Zip | 61875-9608
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Country | US
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Telephone | 217-778-2188
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | EMILY STEPHENSON
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Credential | FNP-BC
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Telephone | 217-778-2188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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