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General NPI Number Information
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NPI Number | 1578595112
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Entity Type | Organization
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Legal Business Name | HARRY C STEPHENSON MD PLLC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4001 KRESGE WAY SUITE 200
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City | LOUISVILLE
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State | KY
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Zip | 40207-4640
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Country | US
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Telephone | 502-897-6500
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Fax | 502-897-6599
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Provider Business Mailing Address
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Address Line | 4001 KRESGE WAY SUITE 200
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City | LOUISVILLE
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State | KY
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Zip | 40207-4640
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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 | OWNER
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Name | HARRY CALVIN STEPHENSON
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Credential | MD
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Telephone | 502-897-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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