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General NPI Number Information
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NPI Number | 1497706048
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Entity Type | Individual
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Provider Name | JANICE ELAINE STEVENSON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 6755 BUSINESS PKWY STE 401
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City | ELKRIDGE
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State | MD
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Zip | 21075-6749
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Country | US
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Telephone | 410-905-4763
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Fax |
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Provider Business Mailing Address
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Address Line | 6755 BUSINESS PKWY STE 401
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City | ELKRIDGE
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State | MD
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Zip | 21075-6749
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Country | US
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Telephone | 410-905-4763
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 01842
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License Number State | MD
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