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General NPI Number Information
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NPI Number | 1558229278
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Entity Type | Individual
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Provider Name | LISA STEVENS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 101 E W T HARRIS BLVD STE 5001
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City | CHARLOTTE
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State | NC
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Zip | 28262-3574
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Country | US
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Telephone | 704-863-5780
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Fax |
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Provider Business Mailing Address
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Address Line | 7066 RUSTED RAIL DR
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City | CHARLOTTE
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State | NC
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Zip | 28213-7164
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 30003213
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License Number State | NC
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