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General NPI Number Information
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NPI Number | 1417271180
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Entity Type | Organization
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Legal Business Name | STEVENS HEALTHCARE CONSULTANTS, LLC
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 1830 OWEN DR STE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3412
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Country | US
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Telephone | 910-483-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 OWEN DR STE 101
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3412
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Country | US
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Telephone | 910-483-3355
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Fax |
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Authorized Official
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Title or Position | CERTIFIED CHILDBIRTH EDUCATOR
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Name | MRS. TRACY LYNN STEVENS
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Credential | RN, CCCE
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Telephone | 910-483-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | NC
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