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General NPI Number Information
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NPI Number | 1215888706
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Entity Type | Individual
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Provider Name | EMILY N STEVENSEN
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 421 W MAIN ST
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City | ALBEMARLE
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State | NC
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Zip | 28001-4641
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Country | US
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Telephone | 704-780-4552
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Fax |
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Provider Business Mailing Address
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Address Line | 9305 SW 94TH ST
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City | MIAMI
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State | FL
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Zip | 33176-2013
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Country | US
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Telephone | 507-380-2016
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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 | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number | 4795
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License Number State | NC
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