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General NPI Number Information
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NPI Number | 1275975955
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Entity Type | Organization
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Legal Business Name | KARA STEBBINS, MD, PLLC
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 832 TREMONT AVE
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City | LEXINGTON
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State | KY
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Zip | 40502-2234
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Country | US
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Telephone | 859-494-6223
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Fax |
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Provider Business Mailing Address
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Address Line | 832 TREMONT AVE
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City | LEXINGTON
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State | KY
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Zip | 40502-2234
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Country | US
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Telephone | 859-576-2776
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | KARA STEBBINS
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Credential |
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Telephone | 859-494-6223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 46548
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License Number State | KY
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