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General NPI Number Information
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NPI Number | 1538787247
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Entity Type | Individual
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Provider Name | STEPHANIE DUPRE NP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 7557 DANNAHER DR STE 230
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City | POWELL
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State | TN
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Zip | 37849-3563
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Country | US
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Telephone | 865-938-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 10200 GRAND CENTRAL AVE STE 220
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4366
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Country | US
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Telephone | 866-681-2335
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000031696
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 214402
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License Number State | LA
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