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General NPI Number Information
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NPI Number | 1346902368
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Entity Type | Individual
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Provider Name | MRS. ARYMIS JAY STEVENSON
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Gender | Female
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 280 EXECUTIVE PARK DR # 1000
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City | CONCORD
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State | NC
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Zip | 28025-1837
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Country | US
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Telephone | 704-237-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 4151 HUNTERIDGE LN
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City | KANNAPOLIS
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State | NC
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Zip | 28081-9135
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Country | US
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Telephone | 692-870-6771
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851111315
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P018889
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License Number State | NC
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