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General NPI Number Information
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NPI Number | 1487618120
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Entity Type | Individual
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Provider Name | STEPHANIE CAROL SETLIFF MD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 4716 ALLIANCE BLVD SUITE 400
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City | PLANO
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State | TX
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Zip | 75093-5371
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Country | US
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Telephone | 972-476-0800
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Fax | 972-596-1916
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Provider Business Mailing Address
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Address Line | 4716 ALLIANCE BLVD SUITE 400
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City | PLANO
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State | TX
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Zip | 75093-5371
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Country | US
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Telephone | 972-476-0800
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Fax | 972-596-1916
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | K9662
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License Number State | TX
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