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General NPI Number Information
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NPI Number | 1275337826
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Entity Type | Individual
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Provider Name | YVETTE STEVENSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 602 S ATWOOD RD STE 207A
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City | BEL AIR
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State | MD
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Zip | 21014-4172
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Country | US
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Telephone | 410-223-2616
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Fax |
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Provider Business Mailing Address
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Address Line | 745 DOWERS RD
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City | ABINGDON
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State | MD
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Zip | 21009-1571
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Country | US
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Telephone | 719-373-4270
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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 | R256687
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | R256687
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | R256687
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R256687
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License Number State | MD
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