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General NPI Number Information
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NPI Number | 1437655511
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Entity Type | Individual
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Provider Name | MRS. JANEY RENEE STEVENS
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 405 E EXCELSIOR AVE
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City | VINITA
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State | OK
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Zip | 74301-4226
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Country | US
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Telephone | 918-256-6476
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 89
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City | DEARING
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State | KS
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Zip | 67340-0089
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Country | US
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Telephone | 620-515-4395
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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