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General NPI Number Information
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NPI Number | 1548843162
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Entity Type | Individual
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Provider Name | DEBORAH STACEY STYONS
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Gender | Female
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Dates
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Enumeration Date | 05/02/2021
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Last Update Date | 05/02/2021
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Provider Practice Location Address
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Address Line | 405 BOONE RD
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City | EDEN
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State | NC
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Zip | 27288-4967
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Country | US
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Telephone | 336-280-1193
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Fax |
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Provider Business Mailing Address
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Address Line | 221 LINK RD
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City | REIDSVILLE
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State | NC
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Zip | 27320-9104
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Country | US
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Telephone | 336-280-1193
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6742
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License Number State | NC
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