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General NPI Number Information
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NPI Number | 1346994480
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Entity Type | Organization
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Legal Business Name | JENNIFER L STEPHENSON, PH.D. PLLC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 8565 S EASTERN AVE STE 118
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City | LAS VEGAS
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State | NV
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Zip | 89123-2810
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Country | US
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Telephone | 702-701-3308
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Fax | 702-441-1262
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Provider Business Mailing Address
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Address Line | 8565 S EASTERN AVE STE 118
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City | LAS VEGAS
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State | NV
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Zip | 89123-2810
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Country | US
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Telephone | 702-701-3308
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Fax | 702-441-1262
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Authorized Official
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Title or Position | OWNER AND CLINICIAN
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Name | DR. JENNIFER L STEPHENSON
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Credential | PHD
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Telephone | 702-701-3308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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