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General NPI Number Information
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NPI Number | 1275021206
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Entity Type | Individual
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Provider Name | STEPHANIE POWELL-GILLIS N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 5620 SAINT BARNABAS RD
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City | OXON HILL
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State | MD
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Zip | 20745-3628
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Country | US
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Telephone | 202-276-9806
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Fax |
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Provider Business Mailing Address
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Address Line | 5620 SAINT BARNABAS RD
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City | OXON HILL
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State | MD
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Zip | 20745-3628
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Country | US
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Telephone | 240-787-1394
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R226824
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License Number State | MD
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