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General NPI Number Information
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NPI Number | 1518685593
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Entity Type | Individual
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Provider Name | VICTORIA MELAINA STEPHENS
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 10931 STONE HOUSE LN
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City | FRISCO
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State | TX
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Zip | 75033-8055
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Country | US
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Telephone | 214-494-0727
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Fax | 214-551-1411
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Provider Business Mailing Address
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Address Line | 1016 BLUEBIRD WAY
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City | CELINA
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State | TX
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Zip | 75009-1619
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Country | US
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Telephone | 940-882-1562
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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