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General NPI Number Information
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NPI Number | 1457402950
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Entity Type | Individual
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Provider Name | CAROLYN STEPHENSON OTR-L
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Gender | Female
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 2550 CHIMNEY ROCK RD SUITE C
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-7972
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Country | US
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Telephone | 828-692-0207
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Fax | 828-692-9945
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Provider Business Mailing Address
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Address Line | 55 PATTON CEMETARY RD
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City | SWANNANOA
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State | NC
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Zip | 28778-2320
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Country | US
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Telephone | 828-243-1192
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 4132
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License Number State | NC
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