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General NPI Number Information
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NPI Number | 1336052042
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Entity Type | Individual
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Provider Name | STEPHENIE LEE SCOTT HARRIS RN
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 314 N FRANKLIN ST
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City | BASTROP
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State | LA
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Zip | 71220-3846
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Country | US
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Telephone | 318-348-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 6923 OLD MONROE RD
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City | BASTROP
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State | LA
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Zip | 71220-7295
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Country | US
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Telephone | 318-348-3156
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | RN155082
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License Number State | LA
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