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General NPI Number Information
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NPI Number | 1558073973
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Entity Type | Individual
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Provider Name | STEPHANIE RACHELE CLOUD APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/16/2022
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2400 HIGHWAY 365 STE 108
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City | NEDERLAND
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State | TX
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Zip | 77627-6268
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Country | US
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Telephone | 409-727-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 8286 FIRE TOWER RD
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City | SILSBEE
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State | TX
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Zip | 77656-8866
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Country | US
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Telephone | 409-659-2739
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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 | 1102088
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License Number State | TX
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