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General NPI Number Information
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NPI Number | 1528208212
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Entity Type | Organization
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Legal Business Name | H.L. STEPHENS, A.P.C.
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | 4025 CAMINO DEL RIO S # 300
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City | SAN DIEGO
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State | CA
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Zip | 92108-4107
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Country | US
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Telephone | 619-203-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 2414 FRONT ST UNIT 38
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City | SAN DIEGO
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State | CA
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Zip | 92101-1437
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Country | US
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Telephone | 619-203-9123
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. HEATHER L STEPHENS
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Credential | PSY.D.
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Telephone | 619-203-9123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY21470
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License Number State | CA
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