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General NPI Number Information
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NPI Number | 1598617540
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Entity Type | Individual
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Provider Name | MRS. STEPHANIE LEE ST. PETER
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 43421 GARFIELD RD STE 4
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1133
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Country | US
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Telephone | 586-649-9027
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Fax | 586-286-0116
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Provider Business Mailing Address
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Address Line | 2828 ST HELENS DR
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City | KIMBALL
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State | MI
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Zip | 48074-1557
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Country | US
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Telephone | 586-567-8112
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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